Jane Reale

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 3692 Issued in FL

Practice address

6000 Pale Moon Dr
Pensacola, FL 32507-7721

Phone

(850) 982-3419

Fax

(850) 492-7371

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1659575074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 PALE MOON DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325077721",
            "telephone_number": "850-082-3419",
            "fax_number": "850-484-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 PALE MOON DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325077721",
            "telephone_number": "850-982-3419",
            "fax_number": "850-492-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALE",
        "first_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 3692",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "FL",
            "license": "OT3692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Raybourn, PA-C
• Tina Rayfield, PA-C
• RCG Pensacola, LLC (Fresenius Kidney Care West Pensacola)
• Ready, Set, Health
• Shelby Alexis Ready, OTR/L
• Mario R Reale, M.D.
• Reality Check Counseling Services, LLC
• Amanda Reamy, PA-C
• Denise Machelle Rease, CPHT
• Gennessee Reaves

• Pediatric Occupational Therapist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pediatric Occupational Therapist in Florida

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