Active NPI
Jody Anne Milovanovic
- Developmental Therapist
- Punta Gorda, FL
National Provider Identifier
1265760987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- RN9589732
- Practice address
- 1352 Rock Dove CT Apt B102
Punta Gorda, FL 33950-8630 - Phone
- (603) 401-1535
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | RN9589732 | FL | Primary |
Addresses
Primary practice location
1352 Rock Dove CT Apt B102
Punta Gorda, FL 33950-8630
Mailing address
8961 Daniels Center Dr Ste 401
Fort Myers, FL 33912-0314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9589732 | FL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1265760987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8961 DANIELS CENTER DR STE 401",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339120314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1352 ROCK DOVE CT APT B102",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339508630",
"telephone_number": "603-401-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILOVANOVIC",
"first_name": "JODY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "RN9589732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.