Active NPI
Rachel Lynne Saragusa, OTR/L
- Occupational Therapist
- New Port Richey, FL
National Provider Identifier
1346784931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT17985
- Practice address
- 4927 Voorhees Rd
New Port Richey, FL 34653-5542 - Phone
- (727) 848-3578
- NPI assigned
- Dec 15, 2016
- Last updated
- Dec 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT17985 | FL | Primary |
| Occupational Therapist | 225X00000X | 302221 | LA | |
| Occupational Therapist | 225X00000X | 117831 | TX |
Addresses
Primary practice location
4927 Voorhees Rd
New Port Richey, FL 34653-5542
Mailing address
700 63Rd Ave S
St Petersburg, FL 33705-5730
Phone (318) 471-3403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191015003742 | GA | Practitioner - Occupational Therapist in Private Practice | 9537490974 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
420 Northside Dr
Valdosta, GA 31602-1802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT17985 | FL | MD | Occupational Therapist |
| 302221 | LA | MD | Occupational Therapist |
| 117831 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deloach Physical Therapy | Current | Accepting new patients |
Locations
420 Northside Dr
Valdosta, GA 31602
Phone (229) 333-8001
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.
-
- Physical Therapy Clinic/Center
- Valdosta, GA
- NPI 1528352002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1346784931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 63RD AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337055730",
"telephone_number": "318-471-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4927 VOORHEES RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535542",
"telephone_number": "727-848-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARAGUSA",
"first_name": "RACHEL",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-15",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT17985",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "302221",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117831",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
- Raymond A Santa-Cruz, DMD
- Gladimar Santiago Cartagena, M.D.
- Elias Ivan Santiago
- Sara Deese, LLC Dba Serenity Oaks Counseling (Serenity Oaks Counseling)
- Gilbert Garcia Sarabia, D.M.D.
- Danni Sarate
- Satellite Drugs and Pharmacy
- Satish Patel MD PA
- Satish Sivasankaran MD PA (Sunshine Cardiovascular & Vein)
- Nicole Saul, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.