Empirical Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT12495 Issued in FL

Legal business name

EMPIRICAL PEDIATRIC THERAPY LLC

Practice address

3430 Cullen Lake Shore Dr
Belle Isle, FL 32812-1107

Phone

(407) 720-8006

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jaisen Stango

Title

Administrator

Phone

(407) 720-8006

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Stango

  • Occupational Therapist
  • Belle Isle, FL
  • NPI 1023260759
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1972056810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 CULLEN LAKE SHORE DR",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121107",
            "telephone_number": "407-720-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 CULLEN LAKE SHORE DR",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121107",
            "telephone_number": "407-720-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRICAL PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "STANGO",
        "authorized_official_first_name": "JAISEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-720-8006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT12495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Janel Buckley
• Tiffany Cary, MA CCC-SLP
• Tara Cunningham, MOT, OTR/L, ATP
• Dawn Curtis
• Lauren Day, APRN
• Full Motion Orthopaedics & Wellness Center
• Rikkisha Gilmore-Byrd, DRPH, CHES
• Karenee Jennifer Grier, APRN
• Sonia M Hansen, LMT
• Michael Henry Hards, D.D.S.

• Pediatric Occupational Therapist in Belle Isle, FL
• Providers in Belle Isle, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.