Healthcare Provider Details

I. General information

NPI: 1346172475
Provider Name (Legal Business Name): LANDMARK THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 SW 20TH AVE APT K71
GAINESVILLE FL
32607-3647
US

IV. Provider business mailing address

5950 SW 20TH AVE APT K71
GAINESVILLE FL
32607-3647
US

V. Phone/Fax

Practice location:
  • Phone: 904-536-6636
  • Fax:
Mailing address:
  • Phone: 904-536-6636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: RUTH ELIZABETH RIVERS
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 904-536-6636