Individual provider Active NPI

Rachel Lynne Saragusa, OTR/L

  • Occupational Therapist
  • New Port Richey, FL
National Provider Identifier
1346784931
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17985 Issued in FL
Practice address
4927 Voorhees Rd
New Port Richey, FL 34653-5542
Phone
(727) 848-3578
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
OT17985FLMDOccupational Therapist
302221LAMDOccupational Therapist
117831TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deloach Physical Therapy CurrentSince Aug 1, 2019 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.

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

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.

Verify at the official NPI Registry.