Healthcare Provider Details

I. General information

NPI: 1285442665
Provider Name (Legal Business Name): ADAPTABILITY OT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 STRADA D ORO
VENICE FL
34292-1555
US

IV. Provider business mailing address

1439 STRADA D ORO
VENICE FL
34292-1555
US

V. Phone/Fax

Practice location:
  • Phone: 757-272-3726
  • Fax:
Mailing address:
  • Phone: 757-272-3726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA DAYTON
Title or Position: OWNER
Credential: OTD,OTR/L
Phone: 757-272-3726