Individual provider Active NPI

Paolo Edward Stanchi, OTR/L

  • Occupational Therapist
  • Davie, FL
National Provider Identifier
1962984674
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19175 Issued in FL
Practice address
4301 S Flamingo Rd Ste 101
Davie, FL 33330-1902
Phone
(786) 301-5709
NPI assigned
Aug 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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 19175 FL Primary

Addresses

Primary practice location

4301 S Flamingo Rd Ste 101
Davie, FL 33330-1902

Mailing address

441 SW 55TH Ave
Plantation, FL 33317-3535
Phone (302) 373-2955

Other identifiers 1

IdentifierTypeStateIssuer
OT19175OtherFLOTR LICENSE

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
19175FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bi-County Speech Language Pathology, Inc. Occupational Therapist PastSince Sep 27, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1962984674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SW 55TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173535",
            "telephone_number": "302-373-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S FLAMINGO RD STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301902",
            "telephone_number": "786-301-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCHI",
        "first_name": "PAOLO",
        "middle_name": "EDWARD",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTR LICENSE",
            "identifier": "OT19175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.