Individual provider Active NPI

Rachel Lynn Kwiatkowski

  • Occupational Therapist
  • Holly Springs, NC
National Provider Identifier
1003420134
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14196 Issued in NC
Practice address
2106 Crossway LN
Holly Springs, NC 27540-6501
Phone
(919) 762-7175
NPI assigned
Sep 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14196 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2106 Crossway LN
Holly Springs, NC 27540-6501

Mailing address

2106 Crossway LN
Holly Springs, NC 27540-6501
Phone (919) 762-7175

Other practice location 1

601 Martin Luther King Jr. Dr
432 FL Atkins Building
Winston-Salem, NC 27110-0001
Phone (336) 750-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Education Connections PLLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

2106 Crossway Ln
Holly Springs, NC 27540
Phone (919) 245-7378

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1003420134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 CROSSWAY LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406501",
            "telephone_number": "919-762-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 CROSSWAY LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406501",
            "telephone_number": "919-762-7175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Martin Luther King Jr. Dr",
            "address_2": "432 FL Atkins Building",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271100001",
            "country_code": "US",
            "telephone_number": "336-750-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-05",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14196",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.