Organization Active NPI

Theresa Lynch Certified Lymphedema Therapist LLC

  • Occupational Therapist
  • Naples, FL
National Provider Identifier
1245990472
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
THERESA LYNCH CERTIFIED LYMPHEDEMA THERAPIST LLC
Practice address
1044 Castello Dr Ste 213
Naples, FL 34103-1900
Phone
(239) 776-4001
Fax
(949) 757-6651
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Theresa Lynch, OTNPI 1144503806
Title
Owner/Authorized Official
Phone
(239) 776-4001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1044 Castello Dr Ste 213
Naples, FL 34103-1900

Mailing address

1044 Castello Dr Ste 213
Naples, FL 34103-1900
Phone (239) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412002391 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204222607 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1044 Castello Dr
Ste 213
Naples, FL 34103
Phone (239) 776-4001

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1245990472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 CASTELLO DR STE 213",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341031900",
            "telephone_number": "239-776-4001",
            "fax_number": "949-757-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CASTELLO DR STE 213",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341031900",
            "telephone_number": "239-776-4001",
            "fax_number": "949-757-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA LYNCH CERTIFIED LYMPHEDEMA THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "239-776-4001",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.