Atlantis Therapy Services Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 5265 Issued in FL

Legal business name

ATLANTIS THERAPY SERVICES INC.

Practice address

5703 Red Bug Lake Rd
Suite 518
Winter Springs, FL 32708-4969

Phone

(407) 629-0444

Fax

(877) 260-0444

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Renae Fennell, OTLNPI 1598957433

Title

Director

Phone

(407) 629-0444

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renae Maree Fennell, OTR/L.

  • Contractor
  • Oviedo, FL
  • NPI 1598957433
  NPD (past) Authorized official
• Tracy S Floyd, MSW, LCSW

  • Clinical Social Worker
  • St Augustine Beach, FL
  • NPI 1699939264

  Single Specialty

  NPD (past)
• Tim Fennell, PHD

  • Professional Counselor
  • Chamblee, GA
  • NPI 1356618201
  NPD (past)

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1629317672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 RED BUG LAKE RD",
            "address_2": "SUITE 518",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084969",
            "telephone_number": "407-629-0444",
            "fax_number": "877-260-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 RED BUG LAKE RD",
            "address_2": "SUITE 518",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084969",
            "telephone_number": "407-629-0444",
            "fax_number": "877-260-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "RENAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-629-0444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 5265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Millad Kamal Labib Ayyad, PHARMACIST
• Monica Azer

• All providers in Winter Springs, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.