Organization Active NPI

Hale Therapy Service Inc

  • Occupational Therapist
  • Fort Myers, FL
National Provider Identifier
1235433343
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 7744 Issued in FL
Legal business name
HALE THERAPY SERVICE INC
Practice address
12691 Chartwell Dr
Fort Myers, FL 33912-4659
Phone
(239) 561-2778
Fax
(239) 561-8107
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer Denise Hale-Washburn, MS,OTR
Title
President/Occupational Therapist
Phone
(239) 691-0765

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16949 FL
Occupational Therapist 225X00000X OT 7744 FL Primary
Occupational Therapist 225X00000X OT 3614 FL
Speech-Language Pathologist 235Z00000X SA 9721 FL

Addresses

Primary practice location

12691 Chartwell Dr
Fort Myers, FL 33912-4659

Mailing address

12691 Chartwell Dr
Fort Myers, FL 33912-4659
Phone (239) 561-2778

Other identifiers 2

IdentifierTypeStateIssuer
001200700MedicaidFL
001200800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1235433343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12691 CHARTWELL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124659",
            "telephone_number": "239-561-2778",
            "fax_number": "239-561-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12691 CHARTWELL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124659",
            "telephone_number": "239-561-2778",
            "fax_number": "239-561-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE THERAPY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "HALE-WASHBURN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "239-691-0765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "16949",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 7744",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 3614",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001200700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001200800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.