Organization Active NPI

Two Fish Therapy

  • Rehabilitation Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1881093870
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
14625 Issued in FL
Legal business name
TWO FISH THERAPY
Practice address
1658 49TH Ave N
Saint Petersburg, FL 33714-3333
Phone
(727) 412-3922
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Miss Deborah A Lund, MS,OTR/LNPI 1659661791
Title
Occupational Therapist
Phone
(727) 412-3922

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
Rehabilitation Clinic/Center 261QR0400X 14625 FL Primary

Addresses

Primary practice location

1658 49TH Ave N
Saint Petersburg, FL 33714-3333

Mailing address

1658 49TH Ave N
Saint Petersburg, FL 33714-3333
Phone (727) 412-3922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1881093870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 49TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337143333",
            "telephone_number": "727-412-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 49TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337143333",
            "telephone_number": "727-412-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO FISH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "727-412-3922",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS,OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "14625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.