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NPI Code Detail

MEDICARE: KRISTA RAPP OTD, OTRL

MEDICARE:   KRISTA  RAPP  OTD, OTRL
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
1225XP0019XPhysical Rehabilitation Occupational Therapist
2225X00000XOccupational TherapistOT23761FL
3225XH1200XHand Occupational Therapist

General Provider Information

NPI Number : 1972200269
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA RAPP OTD, OTRL
Provider Business Mailing Address
First Line : 5924 29TH AVE W BLDG 4
Second Line :
City : BRADENTON
State : FL
Zip : 34209-7003
Country : US
Telephone Number : 724-954-7063
Fax Number :
Provider Business Practice Location Address
First Line : 6202 17TH AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34209-7838
Country : US
Telephone Number : 941-792-1404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2023
Last Update Date : 12/18/2025

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Directions to “ KRISTA RAPP OTD, OTRL” Practice Location

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