Rachel Klara Mink Spencer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009759 Issued in VA

Practice address

202 Nexton Square Dr
Summerville, SC 29486-7911

Phone

(854) 429-4263

Fax

(843) 767-8569

NPI assigned

Sep 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• Rachel Klara Mink Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sentara Therapy Solutions LLCGroup PAC ID 8325370380, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Norfolk, VA
  • NPI 1316590789

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1972137032

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1174993729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069171",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NEXTON SQUARE DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867911",
            "telephone_number": "854-429-4263",
            "fax_number": "843-767-8569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Leonard Fulghum Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643793",
            "country_code": "US",
            "telephone_number": "843-971-9350",
            "fax_number": "843-971-9351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Tricom St",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069171",
            "country_code": "US",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Riverview Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101065",
            "country_code": "US",
            "telephone_number": "757-252-1750",
            "fax_number": "757-965-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "RACHEL",
        "middle_name": "KLARA MINK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4594",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "4594",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH3009",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARCIS HEALTHCARE GROUP MEDICARE PTAN",
            "identifier": "D043",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARCIS HEALTHCARE GROUP MEDICAID NO.",
            "identifier": "GP6337",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARCIS HEALTHCARE, LLC GROUP MEDICARE DME PTAN",
            "identifier": "7000950005",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARCIS HEALTHCARE, LLC GROUP MEDICARE DME PTAN",
            "identifier": "7000950004",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01555383",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MINK",
            "middle_name": "KLARA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vito Speciale, DPM
• Spectrum Therapy Assessment and Rehabilitation, LLC
• Spectrum, Therapy, Assessment, Rehabilitation
• Marika Charlene Spell
• Hailey Spencer, LDO
• Tanya Spencer, RN
• Spenrath Counseling LLC
• Laura Spenrath, M.A., LMFT
• Matthew Ryan Sperber, DDS
• Aleksandr Spevak, DDS

• Occupational Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.