NPIMap

Organization Active NPI

Carrousel Therapy Center Corporation

  • Case Manager/Care Coordinator
  • Davenport, FL
National Provider Identifier
1992250518
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
OT1601 Issued in FL
Legal business name
CARROUSEL THERAPY CENTER CORPORATION
Practice address
2520 Sand Mine Rd
Davenport, FL 33897-3402
Phone
(863) 576-1900
Fax
(888) 477-7678
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mrs. Dalis Mineira Rivera, OTR/L
Title
President
Phone
(407) 891-3054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X OT1601 FL Primary

Addresses

Primary practice location

2520 Sand Mine Rd
Davenport, FL 33897-3402

Mailing address

3201 Budinger Ave
Saint Cloud, FL 34769-7203
Phone (407) 891-3054

Other identifiers 1

IdentifierTypeStateIssuer
003711300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Carrousel Therapy Center Corporation11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1992250518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 BUDINGER AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347697203",
            "telephone_number": "407-891-3054",
            "fax_number": "888-477-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "863-576-1900",
            "fax_number": "888-477-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROUSEL THERAPY CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DALIS",
        "authorized_official_middle_name": "MINEIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-891-3054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "OT1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003711300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.