Active NPI
Athena C Klein, OT
- Occupational Therapist
- Davie, FL
National Provider Identifier
1508528134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22003
- Practice address
- 3375 SW 75TH Ave
Davie, FL 33314-1400 - Phone
- (954) 262-4506
- NPI assigned
- Oct 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22003 | FL | Primary |
Addresses
Primary practice location
3375 SW 75TH Ave
Davie, FL 33314-1400
Mailing address
3520 Oaks Way Apt 1010
Pompano Beach, FL 33069-5389
Phone (315) 530-3845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22003 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Occupational Therapist | Past | Accepting new patients |
| Nova Southeastern University, Inc | Occupational Therapist | Past | Accepting new patients |
Locations
3301 College Ave
Rm 1441
Davie, FL 33314
3301 College Ave
Davie, FL 33314
Phone (800) 541-6682
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Ft. Lauderdale, FL
- NPI 1700924511
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
Occupational Therapist
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Davie, FL
- NPI 1770722282
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1508528134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 OAKS WAY APT 1010",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330695389",
"telephone_number": "315-530-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 SW 75TH AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333141400",
"telephone_number": "954-262-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ATHENA",
"middle_name": "C",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.