Individual provider Active NPI

Clinita Singleton Lynch, MHS,OTR/L-CLT

  • Specialist
  • Rockledge, FL
National Provider Identifier
1699950246
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT4250 Issued in FL
Practice address
1982 Rockledge Blvd
Suite 102
Rockledge, FL 32955-3723
Phone
(321) 433-3650
Fax
(321) 433-3652
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT4250 FL Primary

Addresses

Primary practice location

1982 Rockledge Blvd
Suite 102
Rockledge, FL 32955-3723

Mailing address

1982 Rockledge Blvd
Suite 102
Rockledge, FL 32955-3723
Phone (321) 433-3650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4250FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aquatic Health and Rehabilitation Services Inc PastSince Jan 6, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1699950246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 ROCKLEDGE BLVD",
            "address_2": "SUITE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553723",
            "telephone_number": "321-433-3650",
            "fax_number": "321-433-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 ROCKLEDGE BLVD",
            "address_2": "SUITE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553723",
            "telephone_number": "321-433-3650",
            "fax_number": "321-433-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CLINITA",
        "middle_name": "SINGLETON",
        "credential": "MHS,OTR/L-CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT4250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.