Individual provider Active NPI

Rachel Prohaska, OTR

  • Pediatric Occupational Therapist
  • Plano, TX
National Provider Identifier
1184099145
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
117130 Issued in TX
Practice address
2301 Ohio Dr
130
Plano, TX 75093-3927
Phone
(972) 964-0200
Fax
(972) 964-1200
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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 117130 TX
Pediatric Occupational Therapist 225XP0200X 117130 TX Primary

Addresses

Primary practice location

2301 Ohio Dr
130
Plano, TX 75093-3927

Mailing address

2301 Ohio Dr
130
Plano, TX 75093-3927
Phone (972) 964-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202000140 TX Practitioner - Occupational Therapist in Private Practice 3375039381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6351 Preston Rd
Suite 165
Frisco, TX 75034-5854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117130TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cub Cave LLC Pediatrics CurrentSince Sep 1, 2025 Accepting new patients
Progressive Pediatric Therapy of TX, Inc. Pediatrics Past Accepting new patients

Locations

6351 Preston Rd
Ste 165
Frisco, TX 75034
Phone (469) 598-2783

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1184099145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933927",
            "telephone_number": "972-964-0200",
            "fax_number": "972-964-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933927",
            "telephone_number": "972-964-0200",
            "fax_number": "972-964-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHASKA",
        "first_name": "RACHEL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117130",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "117130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.