Individual provider Active NPI

Raejean Lynn Lopez, OTR/L

  • Occupational Therapist
  • Delray Beach, FL
National Provider Identifier
1477826303
Registry record updated May 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT18453 Issued in FL
Practice address
455 NE 5TH Ave Ste D330
Delray Beach, FL 33483-5658
Phone
(561) 450-9576
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R5143 KY
Occupational Therapist 225X00000X OT007969 OH
Occupational Therapist 225X00000X 3613 NM
Occupational Therapist 225X00000X OT18453 FL Primary

Addresses

Primary practice location

455 NE 5TH Ave Ste D330
Delray Beach, FL 33483-5658

Mailing address

455 NE 5TH Ave Ste D330
Delray Beach, FL 33483-5658
Phone (561) 450-9576

Other names 1

  • Raejean L Burton Other name

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

LicenseStateTypeSpecialty
OT18453FLMDOccupational Therapist
3613NMMDOccupational Therapist
OT007969OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Play and Grow Therapy Inc Occupational Therapist PastSince Jul 24, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494720000000",
    "number": "1477826303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NE 5TH AVE STE D330",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835658",
            "telephone_number": "561-450-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 NE 5TH AVE STE D330",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835658",
            "telephone_number": "561-450-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAEJEAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2017-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R5143",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT007969",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3613",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAEJEAN",
            "last_name": "BURTON",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.