Insight OT Services and Consulting LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INSIGHT OT SERVICES AND CONSULTING LLC

Practice address

3921 Reds Gait LN
Jacksonville, FL 32223-4053

Phone

(904) 616-7793

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Rita E Greene

Title

Credentialing Specialist

Phone

(918) 899-7375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noel Guidry, OTR/L

  • Occupational Therapist
  • Jacksonville, FL
  • NPI 1275019457
  Medicare reassignment NPD

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1821677790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 REDS GAIT LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322234053",
            "telephone_number": "904-616-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 REDS GAIT LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322234053",
            "telephone_number": "904-616-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT OT SERVICES AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "918-899-7375"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.