Active NPI
CRJ Rehab Needs Inc
- Occupational Therapist
- Silver Springs, FL
National Provider Identifier
1497913461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1442
- Legal business name
- CRJ REHAB NEEDS INC
- Practice address
- 6346 NE 61St Avenue Rd
Silver Springs, FL 34488-1160 - Phone
- (352) 512-0012
- Fax
- (352) 512-0012
- NPI assigned
- May 27, 2008
- 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. Laurie Maria Glenn, OTR/L
- Title
- President/Owner
- Phone
- (352) 512-0012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1442 | FL | Primary |
Addresses
Primary practice location
6346 NE 61St Avenue Rd
Silver Springs, FL 34488-1160
Mailing address
6346 NE 61St Avenue Rd
Silver Springs, FL 34488-1160
Phone (352) 512-0012
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409961600000",
"number": "1497913461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6346 NE 61ST AVENUE RD",
"city": "SILVER SPRINGS",
"state": "FL",
"postal_code": "344881160",
"telephone_number": "352-512-0012",
"fax_number": "352-512-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6346 NE 61ST AVENUE RD",
"city": "SILVER SPRINGS",
"state": "FL",
"postal_code": "344881160",
"telephone_number": "352-512-0012",
"fax_number": "352-512-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRJ REHAB NEEDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2014-09-06",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "352-512-0012",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "1442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.