Specialized Rehab Solutions,Inc,

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPECIALIZED REHAB SOLUTIONS,INC,

Practice address

315 NW Shirley CT
Port Saint Lucie, FL 34986-3596

Phone

(954) 465-4467

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kourtni Dames

Title

Owner

Phone

(954) 465-4467

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1093017386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NW SHIRLEY CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863596",
            "telephone_number": "954-465-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NW SHIRLEY CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863596",
            "telephone_number": "954-465-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED REHAB SOLUTIONS,INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "DAMES",
        "authorized_official_first_name": "KOURTNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-465-4467",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI,INDIVIDUAL",
            "identifier": "1720399556",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890876100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.