Cathleen Teresa Bova, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10568 Issued in FL

Practice address

40 S Heathwood Dr
Marco Island, FL 34145-5026

Phone

(239) 393-4079

Fax

(239) 642-8484

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Cathleen Teresa Noselli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649472572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 BREAKWATER CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454514",
            "telephone_number": "239-642-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S HEATHWOOD DR",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341455026",
            "telephone_number": "239-393-4079",
            "fax_number": "239-642-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVA",
        "first_name": "CATHLEEN",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLEEN",
            "last_name": "NOSELLI",
            "middle_name": "TERESA",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.