Individual provider Active NPI

Rachel Elizabeth Radla, OT

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1134902802
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
123903 Issued in TX
Practice address
10555 Culebra Rd Ste 103
San Antonio, TX 78251-3667
Phone
(210) 888-6042
Fax
(210) 888-6045
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 123903 TX Primary

Addresses

Primary practice location

10555 Culebra Rd Ste 103
San Antonio, TX 78251-3667

Mailing address

12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone (210) 372-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905002584 TX Practitioner - Occupational Therapist in Private Practice 5698138899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123903TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership CurrentSince Aug 15, 2023 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Oct 9, 2023 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership CurrentSince Aug 15, 2023 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Oct 9, 2023 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

10555 Culebra Rd
Ste 103
San Antonio, TX 78251
Phone (210) 888-6042

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

Organizations & group practices 5

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1134902802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234733",
            "telephone_number": "210-372-9600",
            "fax_number": "210-392-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 CULEBRA RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513667",
            "telephone_number": "210-888-6042",
            "fax_number": "210-888-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLA",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.