Individual provider Active NPI

Racheal Ann Hart, MS, OT

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1093027229
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2090 Issued in AK
Practice address
203 W 15TH Ave Ste 105
Anchorage, AK 99501-5128
Phone
(907) 441-5214
NPI assigned
Jul 2, 2010
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2090 AK Primary

Addresses

Primary practice location

203 W 15TH Ave Ste 105
Anchorage, AK 99501-5128

Mailing address

203 W 15TH Ave Ste 105
Anchorage, AK 99501-5128
Phone (907) 290-3377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802001403 AK Practitioner - Occupational Therapist in Private Practice 6608270434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jun 30, 2021 Accepting new patients
Connect and Grow Occupational Therapy Occupational Therapist Current Accepting new patients

Locations

3300 Providence Dr
Ste B314
Anchorage, AK 99508
Phone (907) 212-3420

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1093027229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W 15TH AVE STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015128",
            "telephone_number": "907-290-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 15TH AVE STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015128",
            "telephone_number": "907-441-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "RACHEAL",
        "middle_name": "ANN",
        "credential": "MS, OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.