CMS-1500 Box 24J / 33a • NPI
1871206045
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
6520 RICHIES WAY, APOLLO BEACH, FL, 33572-2125
✓ 9-Digit EDI 837 ZIP+4 (33572-2125)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871206045 (APOLLO BEACH THERAPY CENTER 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1871206045 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | APOLLO BEACH THERAPY CENTER 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 | 6520 RICHIES WAY, APOLLO BEACH, FL, 33572-2125 |
| Practice Telephone / Fax | Tel: (813) 944-7441 |
| Administrative Mailing Address | 6520 RICHIES WAY, APOLLO BEACH, FL, 33572-2125 |
| Enumeration & Last Sync | Enumerated: 2023-01-03 | CMS Record Updated: 2026-08-10 |
| Authorized Official | LOVELY SULTENFUSS (Medical Director) |
Clinic Location, Accessibility & Directions
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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)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (APOLLO BEACH THERAPY CENTER 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
- Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Yes (Primary) |
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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