NPIMap

Organization Active NPI

OT Rehabilitation Services PSC

  • Occupational Therapist
  • Caguas, PR
National Provider Identifier
1811229024
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
799 Issued in PR
Legal business name
OT REHABILITATION SERVICES PSC
Practice address
Calle 28 T1 #4
Urb. Turabo Gardens 2
Caguas, PR 00725
Phone
(787) 744-4343
Fax
(787) 703-4343
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mr. Kenneth William Ortiz-Vicente, OTNPI 1992981906
Title
OT/ President
Phone
(787) 460-4671

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 799 PR Primary

Addresses

Primary practice location

Calle 28 T1 #4
Urb. Turabo Gardens 2
Caguas, PR 00725

Mailing address

Calle 28 T1 #4
Urb Turabo Gardens 2
Caguas, PR 00725-5947
Phone (787) 744-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110217000211 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496936965 Receives reassigned benefits from 3 practitioners
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1811229024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 28 T1 #4",
            "address_2": "URB TURABO GARDENS 2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255947",
            "telephone_number": "787-744-4343",
            "fax_number": "787-703-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 28 T1 #4",
            "address_2": "URB. TURABO GARDENS 2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-4343",
            "fax_number": "787-703-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT REHABILITATION SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-VICENTE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OT/ PRESIDENT",
        "authorized_official_telephone_number": "787-460-4671",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.