OrganizationActive
Lymphedema Treatment Center LLC
NPI 1609045756 · Occupational Therapist · Jacksonville, FL
Provider details
- NPI number
- 1609045756
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Rose Corrales, Owner/ Therapist(904) 425-4391
- License
- OT12323 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Phone: (904) 425-4391
Fax: (904) 425-4392
Street-level locationGet directions
Mailing address
11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Registry dates
- Enumerated
- 2008-02-22
- Last updated
- 2008-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.