Agnitus LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

SA2364 Issued in FL

Legal business name

AGNITUS LLC

Doing business as

Agnitus Therapy

Practice address

1153 Helmsdale Dr
Wesley Chapel, FL 33543-3914

Phone

(813) 309-9398

Fax

(813) 333-4240

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Rose Mary Lopez, SLP-CCC

Title

Clinical Director

Phone

(813) 431-1153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Agnitus Therapy Doing business as

Locations

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1326427725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 46124",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336469001",
            "telephone_number": "813-309-9398",
            "fax_number": "813-333-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 HELMSDALE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335433914",
            "telephone_number": "813-309-9398",
            "fax_number": "813-333-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNITUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "813-431-1153",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "SA2364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892070200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agnitus Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.