NPIMap

Organization Active NPI

Optimized Therapy Transitions, LLC

  • Occupational Therapist
  • St Petersburg, FL
National Provider Identifier
1891346680
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OPTIMIZED THERAPY TRANSITIONS, LLC
Practice address
3311 Bayshore Blvd NE
St Petersburg, FL 33703-5507
Phone
(239) 560-9663
NPI assigned
Sep 24, 2019
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Michelle Martin, OTR/LNPI 1700153111
Title
President
Phone
(239) 560-9663

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3311 Bayshore Blvd NE
St Petersburg, FL 33703-5507

Mailing address

3311 Bayshore Blvd NE
St Petersburg, FL 33703-5507
Phone (239) 560-9663

Other practice location 1

8892 Fawn Ridge Dr
Fort Myers, FL 33912-1481
Phone (239) 560-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200317000146 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305274812 Receives reassigned benefits from 49 practitioners
Practice locations: Fort Myers, FL; St Petersburg, FL; Naples, FL; Estero, FL; Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

5636 Youngquist Rd
Fort Myers, FL 33912
Phone (239) 402-3261

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1891346680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 BAYSHORE BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035507",
            "telephone_number": "239-560-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 BAYSHORE BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035507",
            "telephone_number": "239-560-9663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8892 Fawn Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339121481",
            "country_code": "US",
            "telephone_number": "239-560-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMIZED THERAPY TRANSITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-560-9663",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 17, 2023; 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.