Individual provider Active NPI

Rachel Aviva Sagal, OTR/L

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1194030858
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06556 Issued in MD
Practice address
31 Walker Ave
Baltimore, MD 21208-4022
Phone
(410) 415-3515
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 06556 MD Primary

Addresses

Primary practice location

31 Walker Ave
Baltimore, MD 21208-4022

Mailing address

2708 Willow Glen Dr
Baltimore, MD 21209-3124
Phone (201) 675-9309

Other practice location 1

714 S Belgrade Rd
Silver Spring, MD 20902-3261
Phone (201) 675-9309

Other practice location 2

2708 Willow Glen Dr
Baltimore, MD 21209
Phone (201) 675-9309

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
06556MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1194030858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 WILLOW GLEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093124",
            "telephone_number": "201-675-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WALKER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084022",
            "telephone_number": "410-415-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 S Belgrade Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209023261",
            "country_code": "US",
            "telephone_number": "201-675-9309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2708 Willow Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21209",
            "country_code": "US",
            "telephone_number": "201-675-9309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGAL",
        "first_name": "RACHEL",
        "middle_name": "AVIVA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.