MEDICARE: AURORA RECOVERY OCCUPATIONAL THERAPY

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	225XP0019X	Physical Rehabilitation Occupational Therapist
2	225XM0800X	Mental Health Occupational Therapist

General Provider Information

NPI Number	:	1750249215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA RECOVERY OCCUPATIONAL THERAPY

Provider Business Mailing Address
First Line	:	5807 AURORA LN
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-2652
Country	:	US
Telephone Number	:	832-462-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	5807 AURORA LN
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-2652
Country	:	US
Telephone Number	:	832-462-5642
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	YEMISI ADEWOLE
Credential	:	OTD, OTR/L
Telephone Number	:	832-462-5642

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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