LYMPHATIC WELLNESS CENTER, LLC
NPI 1386686186
Occupational Therapist in St Augustine, FL

Active since June 13, 2006
2460 OLD MOULTRIE RD, SUITE 4, ST AUGUSTINE, FL 32086(904) 797-8787(904) 797-8728 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lymphatic Wellness Center, Llc NPPES

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

LYMPHATIC WELLNESS CENTER, LLC (NPI 1386686186) is a healthcare organization registered as an occupational therapist in St Augustine, Florida and active in the NPI registry since June 2006. The organization lists Shaun Taylor Smith, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1386686186
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameLYMPHATIC WELLNESS CENTER, LLC
Location Address2460 OLD MOULTRIE RD, SUITE 4St Augustine, FL 32086-4197
Mailing Address2460 Old Moultrie Rd, Suite 4St Augustine, FL 32086-4197 · (904) 797-8787 · Fax (904) 797-8728
Fax(904) 797-8728
Organization SubpartNo
Authorized OfficialShaun Taylor SmithOwner/operator · (904) 797-8787
Enumeration DateJune 13, 2006
Last NPPES UpdateAugust 23, 2007
NPI 1386686186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.

2460 OLD MOULTRIE RD, St Augustine, FL 32086

Other Identifiers 1

Medicare ID-Type UnspecifiedK4714FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
2460 OLD MOULTRIE RD, SUITE 5
ST AUGUSTINE, FL 32086
General Practice
2460 OLD MOULTRIE RD
ST AUGUSTINE, FL 32086
Surgery
2460 OLD MOULTRIE RD
ST AUGUSTINE, FL 32086
Clinic/Center (Primary Care)
2460 OLD MOULTRIE RD, SUITE 1
ST AUGUSTINE, FL 32086

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 Lymphatic Wellness Center, LLC's NPI number?

The NPI number for Lymphatic Wellness Center, LLC is 1386686186. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Lymphatic Wellness Center, LLC located?

Lymphatic Wellness Center, LLC is located at 2460 Old Moultrie Rd Suite 4, St Augustine, FL 32086. The listed phone number is (904) 797-8787.

What is Lymphatic Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Lymphatic Wellness Center, LLC was last updated on August 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.