Active Health Therapy LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT9610 Issued in FL

Legal business name

ACTIVE HEALTH THERAPY LLC

Practice address

916 Tides Rd
Vero Beach, FL 32963-1261

Phone

(772) 539-0393

NPI assigned

May 29, 2008

Last updated

Jul 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lilia M. Rupe, MS OTR/L MLD-CLTNPI 1114119047

Title

MGRM/Director

Phone

(772) 539-0393

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lilia M. Rupe, OTR/L

  • Occupational Therapist
  • Vero Beach, FL
  • NPI 1114119047
  Authorized official Same address or phone

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1922266592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 TIDES RD STE E-100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631261",
            "telephone_number": "772-539-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 TIDES RD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631261",
            "telephone_number": "772-539-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "RUPE",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MGRM/DIRECTOR",
        "authorized_official_telephone_number": "772-539-0393",
        "authorized_official_credential": "MS OTR/L MLD-CLT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "OT9610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892281100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.