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Southern Magnolia LLC

Occupational Therapy Assistant in Fort Myers, FL · enumerated 2021 · authorized official Jamie Geerken, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114693579

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Magnolia LLC
Other name <Unavail>
Practice address 12856 Banyan Creek Dr # 2, Fort Myers, FL, 33908
Phone (239) 265-5367
Enumeration date Aug 17, 2021
Last updated in NPPES Feb 23, 2022

Taxonomy & classification

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2355S0801X Speech-Language Assistant Speech, Language and Hearing Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Jamie Geerken
Title Owner
Phone (239) 265-5367

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southern Magnolia LLC?
NPPES lists Jamie Geerken (Owner) as the authorized official for this organization.
What is the NPI number for Southern Magnolia LLC?
The NPI for Southern Magnolia LLC is 1114693579, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-23.