Organization Active NPI

Prescribed Rehabilitation, Inc.

  • Occupational Therapist
  • Marianna, FL
National Provider Identifier
1760057368
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PRESCRIBED REHABILITATION, INC.
Practice address
2860 Highway 71 Ste B
Marianna, FL 32446-1893
Phone
(850) 345-6666
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Charlotte Denise Grant, OTNPI 1073256749
Title
Chief Executive Officer
Phone
(850) 345-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

2860 Highway 71 Ste B
Marianna, FL 32446-1893

Mailing address

2325 Keith St
Tallahassee, FL 32310-0904
Phone (850) 345-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1760057368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 KEITH ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323100904",
            "telephone_number": "850-345-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 HIGHWAY 71 STE B",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461893",
            "telephone_number": "850-345-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIBED REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "850-345-6666",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.