MEDICARE: STRIDES OCCUPATIONAL THERAPY SERVICES, INC.

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	OT17268	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

General Provider Information

NPI Number	:	1811480767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRIDES OCCUPATIONAL THERAPY SERVICES, INC.

Provider Business Mailing Address
First Line	:	5720 SPANISH OAKS LN
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-1156
Country	:	US
Telephone Number	:	813-476-5009
Fax Number	:

Provider Business Practice Location Address
First Line	:	5720 SPANISH OAKS LN
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-1156
Country	:	US
Telephone Number	:	813-476-5009
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH POINDEXTER
Credential	:
Telephone Number	:	813-476-5009

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	06/14/2018

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