Provision Rehab Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT6210 Issued in FL

Legal business name

PROVISION REHAB INC

Practice address

3610 Old Lighthouse Cir
Wellington, FL 33414-8843

Phone

(561) 352-4939

Fax

(561) 333-0994

NPI assigned

Feb 2, 2012

Last updated

Feb 29, 2012By 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

Judith A Brown-Ray, OTR/LNPI 1760516520

Title

Pres

Phone

(561) 352-4939

Specialties & licenses 1

Addresses

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.

• Judith Brown-Ray, OT

  • Occupational Therapist
  • Wellington, FL
  • NPI 1760516520
  Authorized official Same address or phone

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1922370261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 OLD LIGHTHOUSE CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148843",
            "telephone_number": "561-352-4939",
            "fax_number": "561-333-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 OLD LIGHTHOUSE CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148843",
            "telephone_number": "561-352-4939",
            "fax_number": "561-333-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BROWN-RAY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-352-4939",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT6210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Progressive Therapy Solutions Inc
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• Prowellness LLC
• Prowellness Plus Inc (Palm Beach Health and Wellness)
• Angela Pruitt, PHARMD
• Psychiatric Associates of Wellington, LLC
• Psychiatric Specialty Center LLC

• Occupational Therapist in Wellington, FL
• Providers in Wellington, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.