Organization Active NPI

Compass Vision Therapy

  • Occupational Therapist
  • Cape Coral, FL
National Provider Identifier
1407541287
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
COMPASS VISION THERAPY
Practice address
2026 SE 14TH Ter
Cape Coral, FL 33990-3885
Phone
(813) 727-5747
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Timothy J Fountaine, OTR/L, CLVTNPI 1548205453
Title
Owner, Lead Therapist
Phone
(813) 727-5747

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: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2026 SE 14TH Ter
Cape Coral, FL 33990-3885

Mailing address

2026 SE 14TH Ter
Cape Coral, FL 33990-3885
Phone (813) 727-5747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516001265 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941666044 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory
Tax ID family
Compass Vision Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1407541287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 SE 14TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903885",
            "telephone_number": "813-727-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 SE 14TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903885",
            "telephone_number": "813-727-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS VISION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "FOUNTAINE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, LEAD THERAPIST",
        "authorized_official_telephone_number": "813-727-5747",
        "authorized_official_credential": "OTR/L, CLVT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.