Mandy M Repice, OTRIL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12089 Issued in FL

Practice address

1715 Heritage TRL
Naples, FL 34112-8715

Phone

(239) 530-3040

NPI assigned

Feb 23, 2007

Last updated

Nov 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1659406122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 SUGAR MAGNOLIA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097833",
            "telephone_number": "239-598-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 HERITAGE TRL",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128715",
            "telephone_number": "239-530-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPICE",
        "first_name": "MANDY",
        "middle_name": "M",
        "credential": "OTRIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.