Taylor Roseanne Giambalvo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

17154 Issued in FL

Practice address

1535 Cogswell St Ste C24
Rockledge, FL 32955-2740

Phone

(321) 872-8737

NPI assigned

Jan 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Play for Real Therapy Services LLC

  • Occupational Therapist
  • Rockledge, FL
  • NPI 1891034625
  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1952940405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 COGSWELL ST STE C24",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552740",
            "telephone_number": "321-872-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 COGSWELL ST STE C24",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552740",
            "telephone_number": "321-872-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBALVO",
        "first_name": "TAYLOR",
        "middle_name": "ROSEANNE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgiambalvo@pfrtherapy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1535 Cogswell St Ste C24",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329552740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keith Sebastian Gelzinis, RPH
• George Idiculla MD,PA
• Brittany George, MSW
• Kellie Dianne Geuting, PT
• Gi Associates of Brevard
• Olivia Gibson
• Beverly R Gilbert, NP
• Cassidy E Giles
• Hailey Gillis
• Ginata Gilmore

• Occupational Therapy Assistant in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.