Fountain Pediatrics, Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

FOUNTAIN PEDIATRICS, INC

Practice address

9814 49TH Ave N
St Petersburg, FL 33708-3634

Phone

(813) 850-4816

NPI assigned

Aug 4, 2022

Last updated

Aug 4, 2022By 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

Kara Lee Mihelich, MS, OTR/LNPI 1013140128

Title

Owner/Director

Phone

(813) 850-4816

Specialties & licenses 1

Addresses

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.

• Kara Lee Mihelich, OTR/L

  • Pediatric Occupational Therapist
  • St Petersburg, FL
  • NPI 1013140128

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1417684085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 49TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083634",
            "telephone_number": "813-850-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 49TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083634",
            "telephone_number": "813-850-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "MIHELICH",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "813-850-4816",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Meghan Foss, PA-C
• Julia Lynn Fossen, APRN
• Michael D Foster
• Foundation Health Therapy LLC
• Foundational Health Alf, Inc.
• Lorna Beth Fountain, M.D.
• Four Palms Manor Inc
• Carolyn A Foust, ARNP-C
• Jennifer Foutch, M.S.W.
• Jillian Fowler

• Pediatric Occupational Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.