MEDICARE: PATTI BARRETT CONSULTING 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	225XE0001X	Environmental Modification Occupational Therapist	RESNA ATP RET 542	FL
2	225CA2400X	Assistive Technology Practitioner Rehabilitation Counselor	RESNA ATP RET 542	FL
3	225400000X	Rehabilitation Practitioner	RESNA ATP RET 542	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114328192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATTI BARRETT CONSULTING LLC

Provider Business Mailing Address
First Line	:	4213 RABBIT POND RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-6437
Country	:	US
Telephone Number	:	850-294-1606
Fax Number	:	866-433-2228

Provider Business Practice Location Address
First Line	:	4213 RABBIT POND RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-6437
Country	:	US
Telephone Number	:	850-294-1606
Fax Number	:	866-433-2228

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

Provider Enumeration Date	:	09/10/2014
Last Update Date	:	09/11/2014

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