Jordan Farinacci

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA16111 Issued in FL

Practice address

1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302

Phone

(561) 348-4098

NPI assigned

Oct 20, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1679084339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 SW FEROE AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "561-348-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINACCI",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Faiola-Williams, PA-C
• Emily Marie Fairbanks
• Alvaro Fajardo
• Family Medical Clinic and Wellness LLC
• Linda Fannin
• Deeanna Vanessa Farrington
• Theresa Marie Farro, CAP, LMHC
• Andrea E Feldman, PA
• Ted Marshall Feldman, PA-C
• Miguel D. Ferguson, PHARM.D., R.PH.

• Occupational Therapy Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.