Healthcare Provider Details

I. General information

NPI: 1114328192
Provider Name (Legal Business Name): PATTI BARRETT CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4213 RABBIT POND RD
TALLAHASSEE FL
32309-6437
US

IV. Provider business mailing address

4213 RABBIT POND RD
TALLAHASSEE FL
32309-6437
US

V. Phone/Fax

Practice location:
  • Phone: 850-294-1606
  • Fax: 866-433-2228
Mailing address:
  • Phone: 850-294-1606
  • Fax: 866-433-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberRESNA ATP RET 542
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225CA2400X
TaxonomyAssistive Technology Practitioner Rehabilitation Counselor
License NumberRESNA ATP RET 542
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License NumberRESNA ATP RET 542
License Number StateFL

VIII. Authorized Official

Name: PATTI ANN BARRETT
Title or Position: OWNER/MANAGER REHABILITATION ENGINE
Credential: ATP, RET
Phone: 850-294-1606