Yacavone Home Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10000 Issued in FL

Legal business name

YACAVONE HOME THERAPY, INC.

Practice address

3773 Stream Dr
Melbourne, FL 32940

Phone

(212) 468-9393

Fax

(321) 246-8939

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lee Fitzgerald, MOT, OTR, LMT

Title

Owner/President

Phone

(321) 246-8939

Specialties & licenses 1

Addresses

Other names 1

• Yacavone Therapy Other name

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1699725887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 STREAM DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401102",
            "telephone_number": "212-468-9393",
            "fax_number": "321-246-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 STREAM DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "212-468-9393",
            "fax_number": "321-246-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACAVONE HOME THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "321-246-8939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR, LMT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "10000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yacavone Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.