Individual provider Active NPI

Michael Rabold, OTR/L

  • Occupational Therapist
  • Vancouver, WA
National Provider Identifier
1346601515
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60793007 Issued in WA
Practice address
700 NE 87TH Ave Ste 350
Vancouver, WA 98664
Phone
(360) 882-2778
Fax
(360) 604-1757
NPI assigned
Mar 15, 2016
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 OT60793007 WA Primary

Addresses

Primary practice location

700 NE 87TH Ave Ste 350
Vancouver, WA 98664

Mailing address

PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778

Other practice location 1

6328 Fairmount Ave
Suite 220
El Cerrito, CA 94530-3665
Phone (510) 525-2700

Other practice location 2

6328 Fairmount Ave
Suite 220
El Cerrito, CA 94530-3665
Phone (510) 525-2700

Other practice location 3

3901 Capital Mall Dr SW Ste D
Olympia, WA 98502-8654
Phone (360) 709-6221

Other practice location 4

3901 Capital Mall Dr SW Ste D
Olympia, WA 98502-8654
Phone (360) 709-6221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrabold738898@direct.med.utah.edu Direct University of Utah

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701000291 FL Practitioner - Occupational Therapist in Private Practice 9133427032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SDS Medical, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

5831 Bee Ridge Rd
Ste 300
Sarasota, FL 34233
Phone (941) 378-5100

Interoperability endpoints

  • Direct secure messaging: mrabold738898@direct.med.utah.edu

Organizations & group practices 1

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1346601515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4825",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084825",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE STE 350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6328 Fairmount Ave",
            "address_2": "SUITE 220",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945303665",
            "country_code": "US",
            "telephone_number": "510-525-2700",
            "fax_number": "510-525-2716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6328 Fairmount Ave",
            "address_2": "SUITE 220",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945303665",
            "country_code": "US",
            "telephone_number": "510-525-2700",
            "fax_number": "510-525-2716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Capital Mall Dr SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028654",
            "country_code": "US",
            "telephone_number": "360-709-6221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Capital Mall Dr SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028654",
            "country_code": "US",
            "telephone_number": "360-709-6221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABOLD",
        "first_name": "MICHAEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60793007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrabold738898@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

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