=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154244515
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL SEASONS REHABILITATIVE THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2026
-----------------------------------------------------
Last Update Date | 08/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7600 COUNTY ROAD 3700
-----------------------------------------------------
City | ATHENS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75752-6528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-980-0614
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7600 COUNTY ROAD 3700
-----------------------------------------------------
City | ATHENS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75752-6528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-980-0614
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR/OT
-----------------------------------------------------
Name | MARIE ADELFA CHATRIAND
-----------------------------------------------------
Credential | OTD, OTR/L, CLT
-----------------------------------------------------
Telephone | 406-521-0052
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------