NPIMap

Individual provider Active NPI

Raquel Bondar, MS OTR/L

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1295094902
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017412 Issued in NY
Practice address
6412 Elray Dr
Apt C
Baltimore, MD 21209-2936
Phone
(917) 974-7979
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2012

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 017412 NY Primary
Occupational Therapist 225X00000X 06905 MD

Addresses

Primary practice location

6412 Elray Dr
Apt C
Baltimore, MD 21209-2936

Mailing address

6412 Elray Dr
Apt C
Baltimore, MD 21209-2936

Other names 1

  • Raquel Hillelsohn Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
06905MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1295094902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 ELRAY DR",
            "address_2": "APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 ELRAY DR",
            "address_2": "APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092936",
            "telephone_number": "917-974-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDAR",
        "first_name": "RAQUEL",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017412",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "HILLELSOHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 15, 2012; 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.