MEDICARE: REBECCA ALEXANDRA CASAS OTR/L

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	225400000X	Rehabilitation Practitioner	OT15492	FL

General Provider Information

NPI Number	:	1962756692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ALEXANDRA CASAS OTR/L

Provider Business Mailing Address
First Line	:	4725 N FEDERAL HWY STE 5
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-771-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-771-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2012
Last Update Date	:	02/12/2026

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