Provider Demographics
NPI:1467449652
Name:HIGHLANDS OCCUPATIONAL THERAPY INC
Entity Type:Organization
Organization Name:HIGHLANDS OCCUPATIONAL THERAPY INC
Other - Org Name:THE HAND REHABILITATION CENTER OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CASTELLI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:863-471-6303
Mailing Address - Street 1:123 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2100
Mailing Address - Country:US
Mailing Address - Phone:863-471-6303
Mailing Address - Fax:863-471-1251
Practice Address - Street 1:123 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2100
Practice Address - Country:US
Practice Address - Phone:863-471-6303
Practice Address - Fax:863-471-1251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9409OtherBC/BS DME
FLK1438Medicare ID - Type UnspecifiedMEDICARE
FLDA7631Medicare ID - Type UnspecifiedRAILROAD MEDICARE
FL1228250001Medicare NSC