Individual provider Active NPI

Genola Cablish, OT

  • Hand Occupational Therapist
  • Winter Haven, FL
National Provider Identifier
1720115645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT8317 Issued in FL
Practice address
250 3Rd St NW
Suite 202
Winter Haven, FL 33881-4605
Phone
(863) 595-1071
Fax
(863) 595-1073
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT8317 FL Primary

Addresses

Primary practice location

250 3Rd St NW
Suite 202
Winter Haven, FL 33881-4605

Mailing address

PO Box 1838
Lakeland, FL 33802-1838
Phone (863) 687-0931

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT8317FLMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720115645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1838",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338021838",
            "telephone_number": "863-687-0931",
            "fax_number": "863-687-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 3RD ST NW",
            "address_2": "SUITE 202",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814605",
            "telephone_number": "863-595-1071",
            "fax_number": "863-595-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABLISH",
        "first_name": "GENOLA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT8317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.