Active NPI
Lauren Raden, OTRL
- Neurorehabilitation Occupational Therapist
- Wauchula, FL
National Provider Identifier
1760694582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- OT11681
- Practice address
- 1962 Vandolah Rd
Wauchula, FL 33873-8726 - Phone
- (863) 767-4411
- Fax
- (863) 773-9293
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT11681 | FL | Primary |
Addresses
Primary practice location
1962 Vandolah Rd
Wauchula, FL 33873-8726
Mailing address
9815 Carlsdale Drive
Riverview, FL 33569
Phone (732) 261-2788
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 |
|---|---|---|---|
| OT11681 | FL | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760694582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9815 CARLSDALE DRIVE",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "33569",
"telephone_number": "732-261-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1962 VANDOLAH RD",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338738726",
"telephone_number": "863-767-4411",
"fax_number": "863-773-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEN",
"first_name": "LAUREN",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "FL",
"license": "OT11681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.