Healthcare Provider Details

I. General information

NPI: 1083623896
Provider Name (Legal Business Name): STEPHANIE C SPINELLI AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 N MAGNOLIA AVE STE 100
ORLANDO FL
32801-1524
US

IV. Provider business mailing address

22 LAKE BEAUTY DR STE 304
ORLANDO FL
32806-2040
US

V. Phone/Fax

Practice location:
  • Phone: 407-896-1152
  • Fax: 407-872-3014
Mailing address:
  • Phone: 407-896-1152
  • Fax: 407-872-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE CASERTA SPINELLI
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 407-896-1152