Active NPI
Spectrum Low Vision Rehabilitation Inc
- Occupational Therapist
- Tampa, FL
National Provider Identifier
1679897672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT5211
- Legal business name
- SPECTRUM LOW VISION REHABILITATION INC
- Practice address
- 10714 N Waterhole PL
Tampa, FL 33612-6573 - Phone
- (813) 245-6635
- NPI assigned
- Mar 18, 2010
- 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
- Mr. Paul Thomas Scaglione, OTR
- Title
- President
- Phone
- (813) 245-6635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT5211 | FL | Primary |
Addresses
Primary practice location
10714 N Waterhole PL
Tampa, FL 33612-6573
Mailing address
10714 N Waterhole PL
Tampa, FL 33612-6573
Phone (813) 245-6635
Other names 1
- Spectrum Low Vision
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1679897672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10714 N WATERHOLE PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336126573",
"telephone_number": "813-245-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10714 N WATERHOLE PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336126573",
"telephone_number": "813-245-6635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM LOW VISION REHABILITATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-18",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "SCAGLIONE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-245-6635",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT5211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spectrum Low Vision",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.