Organization Active NPI

Pathways Therapy Services LLC

  • Occupational Therapist
  • Saint Cloud, FL
National Provider Identifier
1578164661
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PATHWAYS THERAPY SERVICES LLC
Practice address
4417 13TH St # 159
Saint Cloud, FL 34769-6724
Phone
(321) 437-9460
Fax
(407) 593-2495
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Denise ComiskeyNPI 1033216189
Title
Owner
Phone
(321) 437-9460

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

4417 13TH St # 159
Saint Cloud, FL 34769-6724

Mailing address

4417 13TH St # 159
Saint Cloud, FL 34769-6724
Phone (321) 437-9460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210002271 FL Part B Supplier - Clinic/Group Practice 5496160129 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Cloud, FL

National Provider Directory

National Provider Directory

Locations

4767 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (321) 437-9460

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1578164661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 13TH ST # 159",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696724",
            "telephone_number": "321-437-9460",
            "fax_number": "407-593-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 13TH ST # 159",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696724",
            "telephone_number": "321-437-9460",
            "fax_number": "407-593-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "COMISKEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-437-9460"
    },
    "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 Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.