Farmmosaic

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FARMMOSAIC

Practice address

3212 Tenoroc Mine Rd
Lakeland, FL 33805-8525

Phone

(863) 409-9680

NPI assigned

Apr 2, 2017

Organization subpart

No

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

Authorized official

Name

Timothy Dickason, MD

Title

President

Phone

(863) 409-9680

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491091200000",
    "number": "1639601248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 TENOROC MINE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338058525",
            "telephone_number": "863-409-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 TENOROC MINE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338058525",
            "telephone_number": "863-409-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMMOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A",
        "authorized_official_last_name": "DICKASON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-409-9680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fare Way Transportation
• John T. Fargher, M. D.
• Scott A. Fargher, M. D.
• Kaitlyn Wills Farid, AU.D.
• Georgette Farmer, APRN
• Muhammad Zain Farooq, MD
• Jennifer Lee Faucher-Patterson, PT
• Kimberly Favaro
• Luis Clyde Favilli, MD
• Kylie Fayad

• Occupational Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; 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.