Organization Active NPI

Rachel Traill Occupational Therapy LLC

  • Occupational Therapist
  • Jensen Beach, FL
National Provider Identifier
1497967905
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9579 Issued in FL
Legal business name
RACHEL TRAILL OCCUPATIONAL THERAPY LLC
Practice address
1330 NE Jensen Beach Blvd
Jensen Beach, FL 34950
Phone
(772) 370-5549
Fax
(772) 781-4407
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rachel Lynn Traill, OTNPI 1942412531
Title
Owner
Phone
(772) 370-5549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT9579 FL Primary

Addresses

Primary practice location

1330 NE Jensen Beach Blvd
Jensen Beach, FL 34950

Mailing address

2686 SW Regency Road
Stuart, FL 34997-1223
Phone (772) 370-5549

National Provider Directory

National Provider Directory

Locations

1330 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 370-5549

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497967905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 SW REGENCY ROAD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971223",
            "telephone_number": "772-370-5549",
            "fax_number": "772-781-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-370-5549",
            "fax_number": "772-781-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL TRAILL OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAILL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-370-5549",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.