Individual provider Active NPI

Thomas Towner, OT

  • Occupational Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1629425418
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19218 Issued in FL
Practice address
6521 N Andrews Ave
Fort Lauderdale, FL 33309-2131
Phone
(954) 941-6301
NPI assigned
May 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6589 AZ
Occupational Therapist 225X00000X OT19218 FL Primary

Addresses

Primary practice location

6521 N Andrews Ave
Fort Lauderdale, FL 33309-2131

Mailing address

6030 Reese Rd Apt 101
Davie, FL 33314-1227
Phone (607) 346-7264

Other practice location 1

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013-3420
Phone (602) 277-3686

Other identifiers 1

IdentifierTypeStateIssuer
OT19218OtherFLNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318001808 FL Practitioner - Occupational Therapist in Private Practice 1456643964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6589AZMDOccupational Therapist
OT19218FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County CurrentSince Feb 25, 2019 Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Feb 25, 2019 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1629425418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 REESE RD APT 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141227",
            "telephone_number": "607-346-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 N ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092131",
            "telephone_number": "954-941-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Clarendon Ave",
            "address_2": "Ste 285",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850133420",
            "country_code": "US",
            "telephone_number": "602-277-3686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNER",
        "first_name": "THOMAS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-21",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6589",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "OT19218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.