Alfred Charles
Individual provider Active NPI Occupational Therapist · Wauchula, FL
NPI 1629435706 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1629435706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT16428 (FL)
- Practice address
- 401 Orange PL
Wauchula, FL 33873-3417 - Phone
- (863) 773-3231
- NPI assigned
- Jan 20, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehab OT FL LLC
Practice addresses (Care Compare)
Sarasota, FL 34238
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719001653 | FL | Practitioner - Occupational Therapist in Private Practice | 7315483971 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab OT FL LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
3882 Central Sarasota Pkwy
Sarasota, FL 34238
Phone (941) 282-7965
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT16428 | FL | Yes |
Addresses
Primary practice location
401 Orange PL
Wauchula, FL 33873-3417
Mailing address
16352 NW 17TH St
Pembroke Pines, FL 33028-1722
Other providers in Wauchula, FL
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Richard Michael Cocchieri
- Keith O Coker
- Lanson Brijesh Colaco
- Pamela Jo Cook
- William R Cook
All providers in Wauchula, 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 Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.