Individual provider Active NPI

Rachel Pearl, OT

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1336676154
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7792 Issued in FL
Practice address
19221 Skyridge Cir
Boca Raton, FL 33498-6210
Phone
(561) 777-5185
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 7792 FL Primary

Addresses

Primary practice location

19221 Skyridge Cir
Boca Raton, FL 33498-6210

Mailing address

19221 Skyridge Cir
Boca Raton, FL 33498-6210
Phone (561) 777-5185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121002061 FL Practitioner - Occupational Therapist in Private Practice 8022375310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy by Design LLCGroup PAC ID 6608844170, 12 clinicians

Practice addresses (Care Compare)

1905 Clint Moore Rd
Suite 102
Boca Raton, FL 33496-5834

1905 Clint Moore Rd
Suite 305
Boca Raton, FL 33496-2661
Phone (561) 994-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7792FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gait Mechanics, Inc CurrentSince Jan 1, 2021 Accepting new patients
Physical Therapy by Design LLC CurrentSince Apr 25, 2017 Accepting new patients
Stride Therapy Solutions Inc PastSince Nov 20, 2022 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515

10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1336676154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 SKYRIDGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986210",
            "telephone_number": "561-777-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 SKYRIDGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986210",
            "telephone_number": "561-777-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "RACHEL",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "7792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.