En Casa Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EN CASA REHAB LLC

Practice address

3751 Station Dr NW
Kennesaw, GA 30144-2142

Phone

(413) 387-5009

NPI assigned

Jul 26, 2021

Organization subpart

No

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

Authorized official

Name

Kristen Santos, OTR/L

Title

Managing Member/Owner

Phone

(413) 387-5009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1891468989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 STATION DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442142",
            "telephone_number": "413-387-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 STATION DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442142",
            "telephone_number": "413-387-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN CASA REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "413-387-5009",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.