Individual provider Active NPI

Rachel Bouzy

  • Occupational Therapist
  • Winter Haven, FL
National Provider Identifier
1326446303
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
20460 Issued in FL
Practice address
202 Avenue O NE
Winter Haven, FL 33881-2409
Phone
(863) 293-3103
NPI assigned
Dec 8, 2014
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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 20460 FL Primary

Addresses

Primary practice location

202 Avenue O NE
Winter Haven, FL 33881-2409

Mailing address

9840 Mira Lee Way Apt 20513
San Diego, CA 92126-4761

Other practice location 1

345 Greenwood Street, Suite B
Worcester, MA 01607-2747
Phone (508) 363-0200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20885CAMDClinical Social Worker
20460FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Occupational Therapist CurrentSince May 12, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince May 1, 2022 Accepting new patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince May 1, 2022 Accepting new patients
Dedicated Physical Therapy and Wellness LLC CurrentSince Mar 15, 2023 Accepting new patients
Stern at Home Physical Therapy PC Occupational Therapist PastSince Mar 15, 2023 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1326446303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MIRA LEE WAY APT 20513",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 AVENUE O NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812409",
            "telephone_number": "863-293-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Greenwood Street, Suite B",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016072747",
            "country_code": "US",
            "telephone_number": "508-363-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUZY",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.