Provider Demographics
NPI:1366112591
Name:NAJIMIAN, RYAN ASHLEY (OTR/L)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:ASHLEY
Last Name:NAJIMIAN
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4771 COQUINA KEY DR SE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-4812
Mailing Address - Country:US
Mailing Address - Phone:954-907-4381
Mailing Address - Fax:
Practice Address - Street 1:1900 W ALPHA CT
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-7507
Practice Address - Country:US
Practice Address - Phone:864-787-7990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-18
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT18865225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist