Organization Active NPI

On Top Therapy LLC

  • Occupational Therapist
  • Fernandina Beach, FL
National Provider Identifier
1619647906
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ON TOP THERAPY LLC
Practice address
96232 Ridgewood Cir
Fernandina Beach, FL 32034-8160
Phone
(678) 761-2863
Fax
(855) 565-1769
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Mr. Larry James Rutland II, OTR/LNPI 1356908420
Title
Owner
Phone
(678) 761-2863

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: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

96232 Ridgewood Cir
Fernandina Beach, FL 32034-8160

Mailing address

96232 Ridgewood Cir
Fernandina Beach, FL 32034-8160
Phone (678) 761-2863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105001773 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274924048 Receives reassigned benefits from 1 practitioner
Practice locations: Fernandina Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1619647906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96232 RIDGEWOOD CIR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348160",
            "telephone_number": "678-761-2863",
            "fax_number": "855-565-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96232 RIDGEWOOD CIR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348160",
            "telephone_number": "678-761-2863",
            "fax_number": "855-565-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TOP THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "RUTLAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-761-2863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.