Individual provider Active NPI

Athena C Klein, OT

  • Occupational Therapist
  • Davie, FL
National Provider Identifier
1508528134
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22003 Issued in FL
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

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220214000215 FL Practitioner - Occupational Therapist in Private Practice 8022401181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22003FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc CurrentSince Jun 26, 2025 Accepting new patients
Nova Southeastern University, Inc Occupational Therapist Past Accepting new patients
Nova Southeastern University, Inc Occupational Therapist PastSince Oct 17, 2021 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.

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.

Verify at the official NPI Registry.