Organization Active NPI

Occupational Therapy by Regis, LLC

  • In Home Supportive Care Agency
  • Hollywood, FL
National Provider Identifier
1194079152
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OCCUPATIONAL THERAPY BY REGIS, LLC
Practice address
5555 Hollywood Blvd
Suite 201
Hollywood, FL 33021-6476
Phone
(954) 251-1543
Fax
(954) 251-1583
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Mrs. Kimberly A Regis
Title
Ceo
Phone
(954) 251-1543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5555 Hollywood Blvd
Suite 201
Hollywood, FL 33021-6476

Mailing address

5555 Hollywood Blvd
Suite 201
Hollywood, FL 33021-6476
Phone (954) 251-1543

National Provider Directory

National Provider Directory
Tax ID family
Occupational Therapy by Regis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5555 Hollywood Blvd
Ste 201
Hollywood, FL 33021
Phone (954) 603-1881

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1194079152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 HOLLYWOOD BLVD",
            "address_2": "SUITE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216476",
            "telephone_number": "954-251-1543",
            "fax_number": "954-251-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 HOLLYWOOD BLVD",
            "address_2": "SUITE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216476",
            "telephone_number": "954-251-1543",
            "fax_number": "954-251-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY BY REGIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "REGIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-251-1543",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.