Individual provider Active NPI

Rakhil Bruk, OTR/L

  • Occupational Therapist
  • Pikesville, MD
National Provider Identifier
1093608051
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10529 Issued in MD
Practice address
115 Sudbrook LN Ste a
Pikesville, MD 21208-4184
Phone
(104) 358-1997
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 10529 MD Primary
Occupational Therapist 225X00000X 029920 NY

Addresses

Primary practice location

115 Sudbrook LN Ste a
Pikesville, MD 21208-4184

Mailing address

115 Sudbrook LN Ste a
Pikesville, MD 21208-4184
Phone (104) 358-1997

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

State licenses

LicenseStateTypeSpecialty
029920NYMDPharmacist
10529MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1093608051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUDBROOK LN STE A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084184",
            "telephone_number": "104-358-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUDBROOK LN STE A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084184",
            "telephone_number": "104-358-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUK",
        "first_name": "RAKHIL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10529",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.