Organization Active NPI

SLG Therapy, LLC

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1467578419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 7388 Issued in FL
Legal business name
SLG THERAPY, LLC
Practice address
12147 Bishopsford Dr
Tampa, FL 33626-1320
Phone
(813) 610-2336
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Stacy L Gad, MOTL
Title
Manager
Phone
(813) 610-2336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 7388 FL Primary

Addresses

Primary practice location

12147 Bishopsford Dr
Tampa, FL 33626-1320

Mailing address

12147 Bishopsford Dr
Tampa, FL 33626-1320
Phone (813) 610-2336

National Provider Directory

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467578419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12147 BISHOPSFORD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261320",
            "telephone_number": "813-610-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12147 BISHOPSFORD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261320",
            "telephone_number": "813-610-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLG THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAD",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-610-2336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 7388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.