Reena Jodharam, COTA/L
Occupational Therapy Assistant in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1124336763
StatusActive
Last updated in NPPESSep 16, 2010
Details
- NPI
- 1124336763
- Entity type
- Individual (NPI-1)
- Name
- Reena Jodharam
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2010
- Last updated
- Sep 16, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | OTA10182 | FL | Yes |
Practice location
513 Sw Hiawatha StPort St Lucie, FL 34953
Phone 772-621-8798
Mailing address
513 Sw Hiawatha StPort St Lucie, FL 34953-6275
Phone 772-621-8798
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Occupational Therapy Assistant providers in Port St Lucie · All 3,747 providers in Port St Lucie
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