MEDICARE: THREE ROOKER THERAPY

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

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

General Provider Information

NPI Number	:	1609445931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE ROOKER THERAPY

Provider Business Mailing Address
First Line	:	702 9TH ST
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-4218
Country	:	US
Telephone Number	:	727-642-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5461
Country	:	US
Telephone Number	:	727-380-0497
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ OCCUPATIONAL THERAPIST
Name	:	DR. KARI ANNE RASMUSSEN
Credential	:	OTD, OTR/L
Telephone Number	:	813-503-3430

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	02/27/2023

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Directions to “THREE ROOKER THERAPY ” Practice Location

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