Individual provider Active NPI

Rachel D'Agostino, OTR/L

  • Occupational Therapist
  • Newington, CT
National Provider Identifier
1245948090
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6104 Issued in CT
Practice address
505 Willard Ave Ste 1D
Newington, CT 06111-2630
Phone
(860) 969-0207
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 6104 CT Primary

Addresses

Primary practice location

505 Willard Ave Ste 1D
Newington, CT 06111-2630

Mailing address

505 Willard Ave Ste 1D
Newington, CT 06111-2630
Phone (860) 665-8265

Other practice location 1

31 Ensign Dr Ste B
Avon, CT 06001-3773
Phone (860) 404-2461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206000741 CT Practitioner - Occupational Therapist in Private Practice 9133598667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russo Therapeutics, LLC Occupational Therapist CurrentSince Nov 1, 2022 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc Past Accepting new patients
Ptsma Inc Past Accepting new patients

Locations

261 Oakland Rd
South Windsor, CT 06074
Phone (860) 969-0207

Organizations & group practices 3

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1245948090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE STE 1D",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112630",
            "telephone_number": "860-665-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE STE 1D",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112630",
            "telephone_number": "860-969-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Ensign Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013773",
            "country_code": "US",
            "telephone_number": "860-404-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "RACHEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "6104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.