Active NPI
Occupational Therapy by Regis, LLC
- In Home Supportive Care Agency
- Hollywood, FL
National Provider Identifier
1194079152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Hollywood, FL
- NPI 1881947059
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.