Active NPI
Fabiola Matute
- Developmental Therapist
- Oldsmar, FL
National Provider Identifier
1558744771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 3905 Tampa Rd Unit 284
Oldsmar, FL 34677-9713 - Phone
- (727) 485-4660
- Fax
- (727) 789-9204
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
3905 Tampa Rd Unit 284
Oldsmar, FL 34677-9713
Mailing address
9448 121St St
Seminole, FL 33772-2601
Phone (727) 251-0226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1558744771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9448 121ST ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722601",
"telephone_number": "727-251-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 TAMPA RD UNIT 284",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346779713",
"telephone_number": "727-485-4660",
"fax_number": "727-789-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUTE",
"first_name": "FABIOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.