NPIMap

Organization Active NPI

Fidelity Rehab Inc

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1972896827
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 5449 Issued in FL
Legal business name
FIDELITY REHAB INC
Practice address
14030 Trouville Dr
Tampa, FL 33624-6970
Phone
(813) 389-8463
NPI assigned
May 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Alice LubangaNPI 1326125667
Title
Ceo
Phone
(813) 389-8463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 5449 FL Primary

Addresses

Primary practice location

14030 Trouville Dr
Tampa, FL 33624-6970

Mailing address

PO Box 272873
Tampa, FL 33688-2873

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1972896827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272873",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336882873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 TROUVILLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246970",
            "telephone_number": "813-389-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "LUBANGA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-389-8463"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 5449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.