Organization Active NPI

Lighthouse Therapy Center

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1932873403
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LIGHTHOUSE THERAPY CENTER
Practice address
13574 Village Park Dr Ste 250
Orlando, FL 32837-7696
Phone
(407) 990-2847
NPI assigned
Aug 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Tenley C Delong, OT
Title
Occupational Therapist
Phone
(407) 990-2847

Specialties & licenses 1

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

Addresses

Primary practice location

13574 Village Park Dr Ste 250
Orlando, FL 32837-7696

Mailing address

13574 Village Park Dr Ste 250
Orlando, FL 32837-7696
Phone (407) 990-2847

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1932873403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13574 VILLAGE PARK DR STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377696",
            "telephone_number": "407-990-2847",
            "fax_number": "321-300-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13574 VILLAGE PARK DR STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377696",
            "telephone_number": "407-990-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "TENLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "407-990-2847",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.