Rachel Locke Nettles, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA18061 Issued in FL

Practice address

400 North Lake Howard Drive
Winter Haven, FL 33881

Phone

(863) 268-2615

Fax

(863) 268-2615

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

Yes

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1255925913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 HACKL BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305922",
            "telephone_number": "863-393-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTH LAKE HOWARD DRIVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-268-2615",
            "fax_number": "863-268-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "RACHEL",
        "middle_name": "LOCKE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Nelson, LCSW
• Stephen John Nelson, M.D.
• Nemours Children'S Health, Winter Haven, Primary Care
• Stephen Douglas Nenner, LMHC
• Jennifer L Nesbit, M.S.,CCC-SLP
• Donald Richard Nettlow Jr., MD
• Neurocare Center, LLC
• Neurology& Neurosurgery Associates
• Newave Medical Supplies LLC
• Newberry Clinic of Chiropractic PA Inc

• Occupational Therapy Assistant in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.