FOREVER HOME, LLC — NPI 1619485851 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in PARKTON, MD)

CMS-1500 Box 24J / 33a • NPI

1619485851

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

225XE0001X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

1324 RAYVILLE RD, PARKTON, MD, 21120-9056

✓ 9-Digit EDI 837 ZIP+4 (21120-9056)

Practice Phone & Referral Fax

(443) 212-5340

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619485851 (FOREVER HOME, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619485851` (NPI-2 Organization / Facility)
Provider / Legal Name	FOREVER HOME, LLC
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225XE0001X` (Occupational Therapist, Environmental Modification)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	1324 RAYVILLE RD, PARKTON, MD, 21120-9056
Practice Telephone / Fax	Tel: (443) 212-5340
Administrative Mailing Address	PO BOX 652, MONKTON, MD, 21111-0652
Enumeration & Last Sync	Enumerated: 2018-01-22 \| CMS Record Updated: 2018-01-22
Authorized Official	KATHLEEN SUBASIC (Occupational Therapist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1324 RAYVILLE RD, PARKTON, MD, 21120-9056

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Plain-English Taxonomy & CMS Crosswalk (225XE0001X)

What Does Taxonomy Code 225XE0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225XE0001X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FOREVER HOME, LLC)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225XE0001X` — Occupational Therapist, Environmental Modification Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: MD \| License: `04200` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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FOREVER HOME, LLC (NPI #1619485851)