MEDICARE: NEUROHIVE THERAPEUTIC COLLABORATIVE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1285570176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROHIVE THERAPEUTIC COLLABORATIVE, LLC

Provider Business Mailing Address
First Line	:	2401 LOCUST GROVE LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-6715
Country	:	US
Telephone Number	:	775-777-7306
Fax Number	:	775-777-7306

Provider Business Practice Location Address
First Line	:	2401 LOCUST GROVE LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-6715
Country	:	US
Telephone Number	:	775-777-7306
Fax Number	:	775-777-7306

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEPHANIE RODZEWICZ
Credential	:	OTD, OTR/L, DIR-E
Telephone Number	:	775-777-7306

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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