Active NPI
Rachel Cantrell, COTA
- Occupational Therapy Assistant
- Hillside, IL
National Provider Identifier
1477807394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32000149A
- Practice address
- 150 Fencl LN
Hillside, IL 60162-2041 - Phone
- (708) 449-9400
- Fax
- (708) 449-9700
- NPI assigned
- Oct 30, 2012
- Last updated
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32000149A | IN | Primary |
Addresses
Primary practice location
150 Fencl LN
Hillside, IL 60162-2041
Mailing address
PO Box 415
Remington, IN 47977-0415
Phone (765) 532-6645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32000149A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1477807394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415",
"city": "REMINGTON",
"state": "IN",
"postal_code": "479770415",
"telephone_number": "765-532-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 FENCL LN",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601622041",
"telephone_number": "708-449-9400",
"fax_number": "708-449-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "RACHEL",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32000149A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.