Professional Case Management of Southwest FL

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

OT4376 Issued in FL

Legal business name

PROFESSIONAL CASE MANAGEMENT OF SOUTHWEST FL

Practice address

5865 Harrison Rd
Venice, FL 34293-6835

Phone

(941) 228-3562

Fax

(941) 492-2020

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sally E Thimm, OTR/LNPI 1144356320

Title

Director

Phone

(941) 228-3562

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.

• Sally Elaine Thimm, OTR

  • Neurorehabilitation Occupational Therapist
  • Venice, FL
  • NPI 1144356320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1912187345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 HARRISON RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342936835",
            "telephone_number": "941-228-3562",
            "fax_number": "941-492-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 HARRISON RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342936835",
            "telephone_number": "941-228-3562",
            "fax_number": "941-492-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CASE MANAGEMENT OF SOUTHWEST FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "THIMM",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-228-3562",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "OT4376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care One, LLC
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• Linda P Princiotta, P.T.
• Priority Coastal Care LLC
• Professional Anesthesia Associates of Venice
• Progressive Recovery
• Prosthetic & Orthotic Services, Inc.
• Provision Laser Eye Center PA
• Provision Laser Eye Center PA
• Psych Services Incorporated

• Neurorehabilitation Occupational Therapist in Venice, FL
• Providers in Venice, FL by specialty
• Neurorehabilitation Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.