Flourish OT Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FLOURISH OT SERVICES LLC

Practice address

1801 Brantley Rd
Fort Myers, FL 33907-3994

Phone

(239) 839-3024

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Tiffany M Herrera

Title

Manager

Phone

(239) 839-3024

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1982420105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BRANTLEY RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073994",
            "telephone_number": "239-839-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BRANTLEY RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073994",
            "telephone_number": "239-839-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH OT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-839-3024"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.