OrganizationActive
Provision Rehab Inc
NPI 1922370261 · Occupational Therapist · Wellington, FL
Provider details
- NPI number
- 1922370261
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Judith Brown-Ray, Pres(561) 352-4939
- License
- OT6210 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3610 Old Lighthouse Cir
Wellington, FL 33414-8843
Phone: (561) 352-4939
Fax: (561) 333-0994
Street-level locationGet directions
Mailing address
3610 Old Lighthouse Cir
Wellington, FL 33414-8843
Registry dates
- Enumerated
- 2012-02-02
- Last updated
- 2012-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.