Active NPI
Therarehab, Inc.
- Occupational Therapist
- Melbourne, FL
National Provider Identifier
1902016116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- THERAREHAB, INC.
- Practice address
- 705 Spring Lake Drive
Melbourne, FL 32940 - Phone
- (786) 393-7807
- Fax
- (305) 382-0421
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen Bernadette Frahm, OT
- Title
- Owner/Director
- Phone
- (786) 393-7807
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0005978 | FL | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
705 Spring Lake Drive
Melbourne, FL 32940
Mailing address
705 Spring Lake Drive
Melbourne, FL 32940
Phone (786) 393-7807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686588796 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Crown Point, IN
- NPI 1780894980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1902016116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 SPRING LAKE DRIVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32940",
"telephone_number": "786-393-7807",
"fax_number": "305-382-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 SPRING LAKE DRIVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32940",
"telephone_number": "786-393-7807",
"fax_number": "305-382-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAREHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2024-05-24",
"status": "A",
"authorized_official_last_name": "FRAHM",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "BERNADETTE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "786-393-7807",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "0005978",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "686588796",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.