Provider Demographics
NPI:1699028563
Name:REDDY, BHAKTI (OTR/L)
Entity Type:Individual
Prefix:
First Name:BHAKTI
Middle Name:
Last Name:REDDY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BHAKTI
Other - Middle Name:
Other - Last Name:GANDHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8435 LANDER ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2016
Mailing Address - Country:US
Mailing Address - Phone:714-515-9621
Mailing Address - Fax:
Practice Address - Street 1:14707 SPEER LAKE DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-8870
Practice Address - Country:US
Practice Address - Phone:714-515-9621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22603225X00000X
NY013679225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist