Healthcare Provider Details

I. General information

NPI: 1043983414
Provider Name (Legal Business Name): ABILITY HOME TRANSITIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 07/30/2021
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 131ST ST E
BRADENTON FL
34212-9689
US

IV. Provider business mailing address

1107 131ST ST E
BRADENTON FL
34212-9689
US

V. Phone/Fax

Practice location:
  • Phone: 724-464-7801
  • Fax:
Mailing address:
  • Phone: 724-464-7801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALESIA HAWKING
Title or Position: OWNER
Credential: MOT, OTR/L
Phone: 724-464-7801