Active NPI
Inclusive LLC - Technologies - Series 1
- Assistive Technology Supplier Rehabilitation Counselor
- North Fort Myers, FL
National Provider Identifier
1750155685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Rehabilitation Counselor
- Legal business name
- INCLUSIVE LLC - TECHNOLOGIES - SERIES 1
- Practice address
- 2145 Cape Way
North Fort Myers, FL 33917-2505 - Phone
- (763) 742-0612
- NPI assigned
- Nov 10, 2023
- Organization subpart
- Yes
- Parent organization
- INCLUSIVE ADVENTURES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Earl Felling, EE, MBA
- Title
- Manager
- Phone
- (302) 308-4008
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | |||
| Vehicle Modifications Contractor | 171WV0202X | |||
| Peer Specialist | 175T00000X | |||
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | |||
| Orthotic Fitter | 225000000X | |||
| Recreation Therapist | 225800000X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | |||
| Assistive Technology Supplier Rehabilitation Counselor | 225CA2500X | Primary | ||
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Driving and Community Mobility Occupational Therapist | 225XR0403X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Emergency Response System Companies | 333300000X |
Addresses
Primary practice location
2145 Cape Way
North Fort Myers, FL 33917-2505
Mailing address
2145 Cape Way
North Fort Myers, FL 33917-2505
Phone (763) 742-0612
Other names 1
- Inclusive Technologies
National Provider Directory
National Provider Directory- Part of
- Inclusive Adventures Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Assistive Technology Supplier Rehabilitation Counselor
- North Fort Myers, FL
- NPI 1215629522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1750155685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 CAPE WAY",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339172505",
"telephone_number": "763-742-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 CAPE WAY",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339172505",
"telephone_number": "763-742-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCLUSIVE LLC - TECHNOLOGIES - SERIES 1",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INCLUSIVE ADVENTURES INC",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "FELLING",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "302-308-4008",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EE, MBA"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "171WV0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Vehicle Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inclusive Technologies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.