NPIMap

Organization Active NPI

Rehab Direct

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1649392903
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11540 Issued in FL
Legal business name
REHAB DIRECT
Practice address
470 Sparrow Branch Cir
Jacksonville, FL 32259-5488
Phone
(904) 525-0635
Fax
(904) 287-2492
NPI assigned
Apr 5, 2007
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Mr. Noel Nosse, OTNPI 1558402925
Title
Occupational Therapist Owner
Phone
(904) 525-0635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X OT11540 FL Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

470 Sparrow Branch Cir
Jacksonville, FL 32259-5488

Mailing address

470 Sparrow Branch Cir
Jacksonville, FL 32259-5488
Phone (904) 525-0635

Other identifiers 1

IdentifierTypeStateIssuer
889819700MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1649392903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SPARROW BRANCH CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322595488",
            "telephone_number": "904-525-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SPARROW BRANCH CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322595488",
            "telephone_number": "904-525-0635",
            "fax_number": "904-287-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "NOSSE",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST  OWNER",
        "authorized_official_telephone_number": "904-525-0635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11540",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889819700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.