Active NPI
Madeline Elena Fezzie, OTR/L
- Occupational Therapist
- Sun City Center, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT23678
- Practice address
- 1513 Sun City Center PLZ
Sun City Center, FL 33573-5390 - Phone
- (813) 634-6022
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT23678 | FL | Primary |
Addresses
Primary practice location
1513 Sun City Center PLZ
Sun City Center, FL 33573-5390
Mailing address
11528 Wellman Dr
Riverview, FL 33578-3765
Phone (863) 660-3801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
430 Morton Plant St
Suite 206
Clearwater, FL 33756-3396
Phone (813) 978-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients | |
| Musculoskeletal Institute Chartered | Current | Accepting new patients | |
| Musculoskeletal Institute Chartered | Occupational Therapist | Current | Accepting new patients |
| Tallahassee Orthopedic Clinic III PL | Current | Accepting new patients | |
| Musculoskeletal Institute Chartered | Current | Accepting new patients |
Locations
430 Morton Plant St
Clearwater, FL 33756
Phone (727) 461-8360
430 Morton Plant St
Ste 206
Clearwater, FL 33756
Phone (727) 298-5230
430 Morton Plant St
Ste 301
Clearwater, FL 33756
8839 Bryan Dairy Rd
Ste 240
Largo, FL 33777
Phone 81397897007646
8839 Bryan Dairy Rd
Ste 240A
Largo, FL 33777
2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188
803 W Main St
Perry, FL 32347
Phone (850) 584-7078
8839 Bryan Dairy Rd
Ste 240B
Seminole, FL 33777
Phone (727) 591-3080
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Temple Terrace, FL 33637
5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700
13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000
Organizations & group practices 5
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.
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
-
- Orthopaedic Surgery Physician
- Temple Terrace, FL
- NPI 1386639920
Occupational Therapist
-
- Orthopaedic Surgery Physician
- Zephyrhills, FL
- NPI 1467305839
-
- Orthopaedic Surgery Physician
- Palm Harbor, FL
- NPI 1588812168
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1972213510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11528 WELLMAN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783765",
"telephone_number": "863-660-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 SUN CITY CENTER PLZ",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735390",
"telephone_number": "813-634-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEZZIE",
"first_name": "MADELINE",
"middle_name": "ELENA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT23678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.