Organization Active NPI

Occupational Rehabilitation Specialists, LLC

  • Clinic/Center
  • Mishawaka, IN
National Provider Identifier
1700117694
Registry record updated Jan 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OCCUPATIONAL REHABILITATION SPECIALISTS, LLC
Practice address
4609 Grape Rd
Suite B7
Mishawaka, IN 46545-2649
Phone
(269) 268-4601
Fax
(269) 699-5431
NPI assigned
Jan 17, 2010
Last updated
Jan 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2010

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

Authorized official

Name
Christine Lynn Aragon, M.S. ,OTRNPI 1174700322
Title
Occupational Therapist
Phone
(269) 268-5601

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4609 Grape Rd
Suite B7
Mishawaka, IN 46545-2649

Mailing address

4609 Grape Rd
Suite B7
Mishawaka, IN 46545-2649
Phone (269) 268-4601

National Provider Directory

National Provider Directory

Locations

4609 Grape Rd
Ste B7
Mishawaka, IN 46545
Phone (574) 360-8132

Practitioners & affiliated clinicians

Practitioners 1

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": "1263686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263686400000",
    "number": "1700117694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 GRAPE RD",
            "address_2": "SUITE B7",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452649",
            "telephone_number": "269-268-4601",
            "fax_number": "269-699-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 GRAPE RD",
            "address_2": "SUITE B7",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452649",
            "telephone_number": "269-268-4601",
            "fax_number": "269-699-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL REHABILITATION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-17",
        "last_updated": "2010-01-17",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "269-268-5601",
        "authorized_official_credential": "M.S. ,OTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; 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.