Prehab Consultants, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PREHAB CONSULTANTS, LLC

Practice address

859 Michele Cir
Dunedin, FL 34698-6131

Phone

(215) 696-5568

NPI assigned

Jul 26, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Clark, OTR/L

Title

Lead Occupational Therapist

Phone

(215) 696-5568

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: jenclark@prehabconsultants.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1609549807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 MICHELE CIR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986131",
            "telephone_number": "215-696-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 MICHELE CIR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986131",
            "telephone_number": "215-696-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREHAB CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LEAD OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "215-696-5568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316188766",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jenclark@prehabconsultants.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "859 Michele Cir",
            "city": "Dunedin",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346986131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapist in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.