REDA AHMAD SHIHADEH OTR/L
NPI 1255204103
Occupational Therapist - Gerontology in Saint Johns, FL

NPI Status: Active since September 26, 2025

Contact Information

200 WOODFIELD LN
SAINT JOHNS, FL
ZIP 32259
Phone: (904) 874-1223

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  • Individual
  • Male
  • Years of Experience 33
  • Occupational Therapist
  • Gerontology
  • May Accept Medicare Approved Payment

About REDA SHIHADEH

This page provides the complete NPI Profile along with additional information for Reda Shihadeh, a provider established in Saint Johns, Florida with a medical specialization in Occupational Therapist, focusing in gerontology and more than 33 years of experience. The healthcare provider is registered in the NPI registry with number 1255204103 assigned on September 2025. The practitioner's primary taxonomy code is 225XG0600X with license number 6341 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1255204103
Provider Name
REDA AHMAD SHIHADEH OTR/L
Gender
Male
Entity Type
Individual
Location Address
200 WOODFIELD LN SAINT JOHNS, FL 32259
Location Phone
(904) 874-1223
Mailing Address
200 WOODFIELD LN SAINT JOHNS, FL 32259
Mailing Phone
(904) 874-1223
Medical School Name
OTHER
Graduation Year
1993
Is Sole Proprietor?
Yes
Enumeration Date
09-26-2025
Last Update Date
09-26-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist Gerontology

Taxonomy Code
225XG0600X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
6341
License State
FL
Taxonomy Description
Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.

Medicare Participation & PECOS Enrollment Status

Reda Shihadeh is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8628575321

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251008003391

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255204103, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 2 → 4 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 4 + 0 + 8 + 1 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255204103.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255204103, enumerated as an "individual" on September 26, 2025.

The provider is located at 200 WOODFIELD LN SAINT JOHNS, FL 32259 and the phone number is (904) 874-1223.

Occupational Therapist with taxonomy code 225XG0600X and a focus in Gerontology.