AGAPE THERAPY LLC — NPI 1760162614 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in PONCE DE LEON, FL)

CMS-1500 Box 24J / 33a • NPI

1760162614

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

225X00000X (CMS 67)

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

Box 32 Service Location & ZIP+4

2630 N HIGHWAY 81, PONCE DE LEON, FL, 32455-6326

✓ 9-Digit EDI 837 ZIP+4 (32455-6326)

Practice Phone & Referral Fax

(850) 598-4045

Fax: (850) 792-6126

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760162614 (AGAPE THERAPY 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	`1760162614` (NPI-2 Organization / Facility)
Provider / Legal Name	AGAPE THERAPY LLC
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225X00000X` (Occupational Therapist)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	2630 N HIGHWAY 81, PONCE DE LEON, FL, 32455-6326
Practice Telephone / Fax	Tel: (850) 598-4045 \| Fax: (850) 792-6126
Administrative Mailing Address	2000 S BERKSHIRE AVE, SPRINGFIELD, MO, 65809-3205
Enumeration & Last Sync	Enumerated: 2023-07-24 \| CMS Record Updated: 2026-04-12
Authorized Official	SHAUNDA BRADLEY (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2630 N HIGHWAY 81, PONCE DE LEON, FL, 32455-6326

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Plain-English Taxonomy & CMS Crosswalk (225X00000X)

What Does Taxonomy Code 225X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X 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 (AGAPE THERAPY 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
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AGAPE THERAPY LLC (NPI #1760162614)