Rachel Renae Lake, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5805 Issued in SC

Practice address

85C Vincent Dr
Mount Pleasant, SC 29464-4030

Phone

(248) 894-4725

NPI assigned

Dec 7, 2011

Last updated

Mar 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coastal Play 2 Grow Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1750828364

  Occupational Therapist

  Medicare reassignment NPD
• Charleston St LLC

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1629777511
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1356619167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85C VINCENT DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644030",
            "telephone_number": "248-894-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85C VINCENT DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644030",
            "telephone_number": "248-894-4725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7822 Potomac Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207079",
            "country_code": "US",
            "telephone_number": "248-894-4725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "RACHEL",
        "middle_name": "RENAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Alex Kusek, DDS
• Bonnie Leigh Kwasnik, PT, DPT
• Arthur Christopher Lacour II, M.A.,
• Rebecca Ellen Lafar, RPH
• Shannon Laing, P.T.
• Renee Anne Lake, PH.D.
• Debbie Lamb, OTRL
• Joshua Hardy Lamb, M.D.
• Tiffin Lamoreaux, FNP-C
• Stephanie A Lane

• Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.