Active NPI
Rachel Ann Duffy, OTR
- Occupational Therapist
- Richmond, VA
National Provider Identifier
1477825867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006536
- Practice address
- 301 N 9TH St
Richmond, VA 23219 - Phone
- (804) 780-7911
- NPI assigned
- Feb 1, 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 Therapist | 225X00000X | 0119006536 | VA | Primary |
Addresses
Primary practice location
301 N 9TH St
Richmond, VA 23219
Mailing address
4401 Lake Summer PL
Moseley, VA 23120-2212
Phone (215) 915-6693
Other practice location 1
1772 Steiger Lake Ln
Suite 100
Victoria, MN 55386-7723
Phone (952) 443-9888
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4600402 | Other | MN | MEDICA |
| 76842 | Other | MN | HEALTHPARTNERS |
| 001442700 | Medicaid | MN | |
| 1311578 | Other | MN | CIGNA |
| 169036 | Other | MN | UCARE |
| 16154051 | Other | MN | FISERV |
| 565581028803 | Other | MN | PREFERRED ONE |
| 78B64KI | Other | MN | BCBS MN |
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 |
|---|---|---|---|
| 0119006536 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kid Talk Inc | Past | Accepting new patients | |
| Kid Talk Inc | Past | Accepting new patients | |
| Kid Talk Inc | Past | Accepting new patients | |
| Richmond Public Schools | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Richmond, VA
- NPI 1386790756
-
- Speech-Language Pathologist
- Victoria, MN
- NPI 1245315027
-
- Hearing and Speech Clinic/Center
- Prior Lake, MN
- NPI 1508146275
-
- Speech-Language Pathologist
- St Louis Park, MN
- NPI 1700220613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1477825867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 LAKE SUMMER PL",
"city": "MOSELEY",
"state": "VA",
"postal_code": "231202212",
"telephone_number": "215-915-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N 9TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23219",
"telephone_number": "804-780-7911"
}
],
"practiceLocations": [
{
"address_1": "1772 Steiger Lake Ln",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "MN",
"postal_code": "553867723",
"country_code": "US",
"telephone_number": "952-443-9888",
"fax_number": "952-443-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFFY",
"first_name": "RACHEL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "4600402",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "76842",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001442700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1311578",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "169036",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FISERV",
"identifier": "16154051",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "565581028803",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "78B64KI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.