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

Active since August 17, 2021
12856 BANYAN CREEK DR # 2, FORT MYERS, FL 33908(239) 265-5367 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2022, Aug 18, 2021 (2 updates tracked since 2021).

About Southern Magnolia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MAGNOLIA LLC (NPI 1114693579) is a healthcare organization registered as an occupational therapy assistant in Fort Myers, Florida and active in the NPI registry since August 2021. The organization lists Jamie Geerken, Owner, as its authorized official.

NPPES Registry Identity

NPI1114693579
Entity TypeOrganization
Primary Taxonomy224Z00000X
Legal Business NameSOUTHERN MAGNOLIA LLC
Location Address12856 BANYAN CREEK DR # 2Fort Myers, FL 33908-3082
Mailing Address17165 John Morris Rd 291Ft Myers, FL 33908 · (239) 265-5367
Organization SubpartNo
Authorized OfficialJamie GeerkenOwner · (239) 265-5367
Enumeration DateAugust 17, 2021
Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
NPI 1114693579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
Definition
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
12856 BANYAN CREEK DR # 2, Fort Myers, FL 33908

Other Names 1

Doing Business AsSouthern Magnolia Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Magnolia LLC's NPI number?

The NPI number for Southern Magnolia LLC is 1114693579. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is Southern Magnolia LLC located?

Southern Magnolia LLC is located at 12856 Banyan Creek Dr # 2, Fort Myers, FL 33908. The listed phone number is (239) 265-5367.

What is Southern Magnolia LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Southern Magnolia LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.