Ridge Rehabilitation

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12719 Issued in FL

Legal business name

RIDGE REHABILITATION

Practice address

5647 N Lena Dr
Beverly Hills, FL 34465-4546

Phone

(352) 270-8081

Fax

(352) 270-8081

NPI assigned

Nov 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wanda Lee, OTR

Title

Registered Occupational Therapist

Phone

(352) 270-8081

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1053740043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 N LENA DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654546",
            "telephone_number": "352-270-8081",
            "fax_number": "352-270-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 N LENA DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654546",
            "telephone_number": "352-270-8081",
            "fax_number": "352-270-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "REGISTERED OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "352-270-8081",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "12719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ratliff
• Saraswathi Desai Reddy, ARNP
• Venugopala A Reddy, MD
• Evelyn Rentas, MD
• Myra Ricketts, LMHC
• Rios Rehab Center LLC
• Kelly Lynn Rivera
• Eve Rockhill, CD
• Julie Rosati
• Marvelle Andecia Ross

• Occupational Therapist in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.