Organization Active NPI

Lavie Rehab.

  • Nursing Care Agency
  • Brandon, FL
National Provider Identifier
1316217201
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
OTA6727 Issued in FL
Legal business name
LAVIE REHAB.
Practice address
103 Melanie Lane
Brandon, FL 33510
Phone
(813) 382-8001
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Ms. Theresa Patricia Tyrell
Title
Occupational Therapist Assistant
Phone
(813) 382-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X OTA6727 FL Primary

Addresses

Primary practice location

103 Melanie Lane
Brandon, FL 33510

Mailing address

103 Melanie Lane
Brandon, FL 33510
Phone (813) 382-8001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1316217201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MELANIE LANE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "813-382-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MELANIE LANE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "813-382-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVIE REHAB.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "TYRELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "813-382-8001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "OTA6727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.