MEDICARE: REACH THERAPY SOLUTIONS, 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	225800000X	Recreation Therapist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1104791201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REACH THERAPY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	3908 W MULLEN AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3908 W MULLEN AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4427
Country	:	US
Telephone Number	:	847-477-5514
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST AND CTRS
Name	:	MARA ROSEN
Credential	:	OTD, OTR/L, CTRS
Telephone Number	:	847-477-5514

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/08/2025

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