NPI 1114706637 · live from the CMS NPI Registry
Ablehearts Rehabilitation, LLC
Occupational Therapist in Hazel Crest, IL. National Provider Identifier 1114706637, active.
NPI record
| NPI | 1114706637 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 17400 Kedzie Ave, Hazel Crest, IL 60429 |
| Practice phone | 618-780-3256 |
| Mailing address | 4042 Park Oaks Blvd Ste 300, Tampa, FL 33610 |
| Enumerated | September 25, 2023 |
| Last updated | September 25, 2023 |
| Authorized official | Risty Smith, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Occupational Therapist primary | 225X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.