Assistive Technology Evaluations and Services, LLC

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

Legal business name

ASSISTIVE TECHNOLOGY EVALUATIONS AND SERVICES, LLC

Practice address

1357 Selbydon Way
Winter Garden, FL 34787-4652

Phone

(352) 536-4981

NPI assigned

Mar 7, 2017

Last updated

Jun 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Samuel Davis, PH.D., ATPNPI 1902346042

Title

Owner

Phone

(352) 536-4981

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Samuel Davis, PH.D., ATP

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Winter Garden, FL
  • NPI 1902346042
  NPD Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1346780483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 SELBYDON WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874652",
            "telephone_number": "352-536-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 SELBYDON WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874652",
            "telephone_number": "352-536-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTIVE TECHNOLOGY EVALUATIONS AND SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-536-4981",
        "authorized_official_credential": "PH.D., ATP"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018949100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018669400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Counselor in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Rehabilitation Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.