Organization Active NPI

J.W. Adaptive Technology, Inc.

  • Occupational Therapist
  • Greenacres, FL
National Provider Identifier
1679877591
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9728 Issued in FL
Legal business name
J.W. ADAPTIVE TECHNOLOGY, INC.
Practice address
3066 Jog Rd
Greenacres, FL 33467-2053
Phone
(561) 214-3518
Fax
(786) 513-2873
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Mrs. Julie Ann Wells, M.S. OTR/L ATP
Title
Occupational Therapist
Phone
(561) 214-3518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT9728 FL Primary

Addresses

Primary practice location

3066 Jog Rd
Greenacres, FL 33467-2053

Mailing address

13442 Columbine Ave
Wellington, FL 33414-8144
Phone (561) 214-3518

Other identifiers 1

IdentifierTypeStateIssuer
886422500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1679877591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13442 COLUMBINE AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148144",
            "telephone_number": "561-214-3518",
            "fax_number": "786-513-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672053",
            "telephone_number": "561-214-3518",
            "fax_number": "786-513-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.W. ADAPTIVE TECHNOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "561-214-3518",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. OTR/L ATP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886422500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.