SOUTHERN MAGNOLIA LLC
NPI 1114693579
Occupational Therapy Assistant in Fort Myers, FL

NPI Status: Active since August 17, 2021

Contact Information

12856 BANYAN CREEK DR # 2
FORT MYERS, FL
ZIP 33908
Phone: (239) 265-5367

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  • Organization
  • Occupational Therapy Assistant

About SOUTHERN MAGNOLIA LLC

This page provides the complete NPI Profile along with additional information for Southern Magnolia Llc, a provider established in Fort Myers, Florida operating as a Occupational Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1114693579 assigned on August 2021. The practitioner's primary taxonomy code is 224Z00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Southern Magnolia Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Southern Magnolia Llc. The authorized official of this NPI record is Jamie Geerken Cota (Owner)

NPI
1114693579
Provider Legal Name
SOUTHERN MAGNOLIA LLC
Other Organization Name
SOUTHERN MAGNOLIA LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12856 BANYAN CREEK DR # 2 FORT MYERS, FL 33908
Location Phone
(239) 265-5367
Mailing Address
17165 JOHN MORRIS RD 291 FT MYERS, FL 33908
Mailing Phone
(239) 265-5367
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2021
Last Update Date
02-23-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapy Assistant

Taxonomy Code
224Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Pediatrics

 
32355S0801XSpeech, Language and Hearing Service Providers

Specialist/Technologist
Speech-Language Assistant

 
4235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMIE GEERKEN COTA

Authorized Official Title
OWNER
Authorized Official Phone
(239) 265-5367

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114693579, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 2 + 9 + 6 + 5 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1114693579.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114693579, enumerated as an "organization" on August 17, 2021.

The provider is located at 12856 BANYAN CREEK DR # 2 FORT MYERS, FL 33908 and the phone number is (239) 265-5367.

Occupational Therapy Assistant with taxonomy code 224Z00000X.