SOUTHERN MAGNOLIA LLC
SOUTHERN MAGNOLIA LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114693579, based in Fort Myers, FL. The organization lists 5 taxonomy classifications, with Occupational Therapy Assistant recorded as primary.
Getting there
The practice address on file is 12856 BANYAN CREEK DR # 2, Fort Myers, FL 33908. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Occupational Therapy Assistant covers
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. NUCC Health Care Provider Taxonomy, code 224Z00000X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | — | — | primary |
| 225X00000X | Occupational Therapist | — | — | |
| 225XP0200X | Pediatric Occupational Therapist Pediatrics | — | — | |
| 2355S0801X | Speech-Language Assistant Speech-Language Assistant | — | — | |
| 235Z00000X | Speech-Language Pathologist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1114693579 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 17, 2021 |
| Last updated | Feb 23, 2022 |
| Status | Active |
| Practice address |
12856 BANYAN CREEK DR # 2 Fort Myers, FL 33908 (239) 265-5367 |
| Mailing address |
17165 JOHN MORRIS RD 291 Ft Myers, FL 33908 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 6 | 9 | 3 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 3 | 9 | 6 | 5 | 5 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.