Rachel Ann Gaughenbaugh, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0T20385 Issued in CA

Practice address

10780 Santa Monica Blvd Ste 405
Los Angeles, CA 90025-7655

Phone

(310) 234-0300

NPI assigned

Sep 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1164070207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 WILLOWCREST AVE UNIT 1",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013414",
            "telephone_number": "304-670-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257655",
            "telephone_number": "310-234-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHENBAUGH",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "0T20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Gaty
• Lorna G. Gaudiel, MD
• Jeremy P Gaudin
• Louisa Gauerke
• Thaidra A Gaufin, MD
• Janeen C Gaul, RN, NNP
• Natalie Anne Gault
• Tanya Gaum, LMFT
• Michelle Gauntt
• Daria Gaut

• Pediatric Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.