Individual provider Active NPI

Rachel Funaro, OTR/L

  • Occupational Therapist
  • Wallingford, CT
National Provider Identifier
1427627637
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5635 Issued in CT
Practice address
1062 Barnes Rd Ste 207
Wallingford, CT 06492-6013
Phone
(203) 626-9354
Fax
(203) 626-9354
NPI assigned
Jun 22, 2021
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 5635 CT Primary

Addresses

Primary practice location

1062 Barnes Rd Ste 207
Wallingford, CT 06492-6013

Mailing address

57 Coach Dr
Northford, CT 06472-1048
Phone (203) 927-7415

Other practice location 1

469 W Main St
Branford, CT 06405-3400
Phone (203) 828-6790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714003205 CT Practitioner - Occupational Therapist in Private Practice 5395105860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Communicate With Me, Speech Therapy LLC CurrentSince Apr 21, 2024 Accepting new patients
Fox Rehab OT CT, LLC Occupational Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

1062 Barnes Rd
Ste 207
Wallingford, CT 06492
Phone (203) 265-4600

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 2

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1427627637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 COACH DR",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "064721048",
            "telephone_number": "203-927-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD STE 207",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926013",
            "telephone_number": "203-626-9354",
            "fax_number": "203-626-9354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 W Main St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053400",
            "country_code": "US",
            "telephone_number": "203-828-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNARO",
        "first_name": "RACHEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.