Regina Wells, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23841 Issued in FL

Practice address

7000 Spyglass CT
Viera, FL 32940-8288

Phone

(321) 241-6543

Fax

(321) 241-6513

NPI assigned

Apr 25, 2023

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Space Coast Lymphedema Clinic LLCGroup PAC ID 9638495724, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Space Coast Lymphedema Clinic LLC

  • Physical Therapist
  • Viera, FL
  • NPI 1477959856
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1245928514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 INDIAN RIVER AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804298",
            "telephone_number": "919-426-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408288",
            "telephone_number": "321-241-6543",
            "fax_number": "321-241-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "REGINA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Richard Walters, CH
• Angela Washington, LMSW
• Jessica Lashae Washington
• Karin Colby Watson, MPT
• Tracey K Weber, PT
• Sue C Westby
• Laurie Wilamowski
• Ashley Nicole Williams
• Sharon Williams, RN
• Jamie L Wilson, CPHT.

• Occupational Therapist in Viera, FL
• Providers in Viera, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.