MEDICARE: CREATIVE CONCEPTS IN OCCUPATIONAL THERAPY LLC

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1003709759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATIVE CONCEPTS IN OCCUPATIONAL THERAPY LLC

Provider Business Mailing Address
First Line	:	2406 OLD NANTUCKET CT
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-7130
Country	:	US
Telephone Number	:	716-946-0287
Fax Number	:

Provider Business Practice Location Address
First Line	:	2406 OLD NANTUCKET CT
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-7130
Country	:	US
Telephone Number	:	716-946-0287
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEBRA BATTISTELLA
Credential	:	OTR/L
Telephone Number	:	716-946-0287

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

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