Individual provider Active NPI

Robert J Hartwell, OT

  • Occupational Therapist
  • Fort Myers, FL
National Provider Identifier
1932133428
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13134 Issued in FL
Practice address
11475 Waterford Village Dr
Fort Myers, FL 33913-7917
Phone
(239) 284-7326
NPI assigned
Jul 10, 2006
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT13134 FL Primary

Addresses

Primary practice location

11475 Waterford Village Dr
Fort Myers, FL 33913-7917

Mailing address

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347

Other practice location 1

70 Stockton Ave
Ocean Grove, NJ 07756-1150
Phone (732) 774-1316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT13134FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1932133428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11475 WATERFORD VILLAGE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137917",
            "telephone_number": "239-284-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Stockton Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean Grove",
            "state": "NJ",
            "postal_code": "077561150",
            "country_code": "US",
            "telephone_number": "732-774-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWELL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.