Active NPI
Linda Fadden, OT
- Occupational Therapist
- Palm Bay, FL
National Provider Identifier
1679713721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 483
- Practice address
- 4700 Babcock St NE Ste 36
Palm Bay, FL 32905-2818 - Phone
- (321) 726-4150
- NPI assigned
- Mar 3, 2009
- Last updated
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 483 | FL | Primary |
Addresses
Primary practice location
4700 Babcock St NE Ste 36
Palm Bay, FL 32905-2818
Mailing address
2260 South Front Street
Unit 307
Melbourne, FL 32901
Phone (321) 960-2134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 483 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Therapy Center of Melbourne LLC | Past | Accepting new patients | |
| Florida Therapy Center of Palm Bay, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Melbourne, FL
- NPI 1144288986
-
- Physical Therapist
- Palm Bay, FL
- NPI 1447492863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1679713721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 SOUTH FRONT STREET",
"address_2": "UNIT 307",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-960-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 BABCOCK ST NE STE 36",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052818",
"telephone_number": "321-726-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADDEN",
"first_name": "LINDA",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
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- Monique Exume, FNP
- Eye Doctors Optical Outlets, PA (Eye Doctors Optical Outlets)
- Fidelis Ifeanyi Ezewike Jr.
- Amanda Ann Fadden, AUD
- Jada Ann Fairbanks
- Faith and Comfort Living LLC
- Al-Quiyamah Ghafur Faiz, BA
- Ronald Jay Falcon, L.M.T.
- Rebecca H Fanguy, RNFA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.