Rajeev Mendhe, OTRL
Individual provider Active NPI Occupational Therapist · Lakeland, FL
NPI 1508924028 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1508924028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT5792 (FL)
- Practice address
- 1057 South Florida Ave
8939
Lakeland, FL 33803 - Phone
- (863) 617-9400
- Fax
- (863) 688-9858
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT5792 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Rehab & Wellness Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT5792 | FL | Yes |
Addresses
Primary practice location
1057 South Florida Ave
8939
Lakeland, FL 33803
Mailing address
PO Box 8939
Lakeland, FL 33806-8939
Phone (863) 617-9400
Other providers in Lakeland, FL
- Bethani Carole Mendez
- Juan Mendez
- Lenny Tua Mendez
- Miguel Angel Mendez
- Robert Yvan Mendez
- Christina Mendoza
- Daphne Mendoza
- Jocelyne Mendoza
- Julie Mendoza
- Oscar Mendoza
All providers in Lakeland, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.