Active NPI
J.W. Adaptive Technology, Inc.
- Occupational Therapist
- Greenacres, FL
National Provider Identifier
1679877591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT9728
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886422500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.