Active NPI
Compass Vision Therapy
- Occupational Therapist
- Cape Coral, FL
National Provider Identifier
1407541287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy J Fountaine, OTR/L, CLVT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Cape Coral, FL
- NPI 1598467979
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
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, PA
- Community Medical Supply Inc
- Community Pathways, LLC
- Compass Care Services LLC
- Compass Vision Therapy
- Compassionecare Florida, PA
- Comprehensive Hearing Solutions, PLLC
- Comprehensive Rehabilitation RN PT Services PLLC
- Alfredo Ramon Concepcion Concepcion, RBT
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.