Organization Active NPI

Mindful & Caring Occupational Therapy LLC

  • Occupational Therapist
  • North Fort Myers, FL
National Provider Identifier
1821741620
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MINDFUL & CARING OCCUPATIONAL THERAPY LLC
Practice address
390 Pondella Rd Ste 12
North Fort Myers, FL 33903-4340
Phone
(239) 265-2951
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Marley FernandezNPI 1811343486
Title
Otr/L
Phone
(239) 265-2951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

390 Pondella Rd Ste 12
North Fort Myers, FL 33903-4340

Mailing address

904 NE 10TH Ter
Cape Coral, FL 33909-1431
Phone (239) 265-2951

Other names 1

  • Mindful & Caring Occupational Therapy LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

390 Pondella Rd
Ste 12
North Fort Myers, FL 33903
Phone (239) 265-2951

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1821741620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 NE 10TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091431",
            "telephone_number": "239-265-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PONDELLA RD STE 12",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034340",
            "telephone_number": "239-265-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL & CARING OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "239-265-2951"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful & Caring Occupational Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 1, 2022; 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.