Individual provider Active NPI

Rachel Sup, OTR

  • Low Vision Occupational Therapist
  • Orlando, FL
National Provider Identifier
1003793647
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
OT19451 Issued in FL
Practice address
215 E New Hampshire St
Orlando, FL 32804-6403
Phone
(619) 987-6661
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapist 225XL0004X OT19451 FL Primary

Addresses

Primary practice location

215 E New Hampshire St
Orlando, FL 32804-6403

Mailing address

215 E New Hampshire St
Orlando, FL 32804-6403
Phone (619) 987-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529000016 FL Practitioner - Occupational Therapist in Private Practice 0547730749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 E New Hampshire St
Orlando, FL 32804-6403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19451FLMDLow Vision Occupational Therapist

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1003793647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E NEW HAMPSHIRE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046403",
            "telephone_number": "619-987-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E NEW HAMPSHIRE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046403",
            "telephone_number": "619-987-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUP",
        "first_name": "RACHEL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "FL",
            "license": "OT19451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.