Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eden Rehab LLC

Organization Occupational Therapy Assistant · NPI 1558664250

Eden Rehab LLC is an Occupational Therapy Assistant in Brandon, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6100 Old Brandon Rd
Brandon, MS 39042-2543
Phone: (601) 933-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA2491 (MS)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence TA1991 (MS)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence TA2342 (MS)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA2698 (MS)

Record details

NPI number1558664250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Riche — Member · (601) 573-9974
NPI enumeratedDecember 19, 2010
Last updated in NPPESDecember 19, 2010
Mailing address119 Bonne Vie Dr, Brandon, MS 39047-8789

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