OCCUPATIONAL AND REHABILITATION CENTER PA
NPI 1164507422
Rehabilitation Practitioner in Jacksonville, FL

Q: What is Occupational And Rehabilitation Center PA's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since October 26, 2006CLIA 10D2117040 · Waiver

6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257(904) 260-3011(904) 260-3170 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2023, Nov 2, 2023 (2 updates tracked since 2023).

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About Occupational And Rehabilitation Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCCUPATIONAL AND REHABILITATION CENTER PA (NPI 1164507422) is a healthcare organization registered as a rehabilitation practitioner in Jacksonville, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 7, 2026 and lists Darlene Tan, Administrator/chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1164507422

Entity TypeOrganization

Primary Taxonomy225400000X

Legal Business NameOCCUPATIONAL AND REHABILITATION CENTER PA

Location Address6144 GAZEBO PARK PL S STE 101Jacksonville, FL 32257-1086

Mailing Address6144 Gazebo Park Pl S Ste 101Jacksonville, FL 32257-1086 · (904) 260-3011 · Fax (904) 260-3170

Phone(904) 260-3011

Fax(904) 260-3170

Organization SubpartNo

Authorized OfficialDarlene TanAdministrator/chief Legal Officer · (904) 260-3011

Enumeration DateOctober 26, 2006

Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration

NPPES CertifiedNovember 2, 2023

✔ NPI 1164507422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

6144 GAZEBO PARK PL S STE 101, Jacksonville, FL 32257

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2117040

Occupational And Rehabilitation Center · Jacksonville, FL

Active · expires Aug 7, 2026

CLIA Number10D2117040

Laboratory TypePhysician Office

Certificate Effective DateAugust 8, 2024

Certificate Expiration DateAugust 7, 2026

Laboratory DirectorJackson C. Tan

Laboratory Phone(904) 260-3011

Laboratory LocationOccupational And Rehabilitation Center6144 Gazebo Park Pl S Ste 101, Jacksonville, FL 32257

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARLENE TAN LMT

Massage Therapist