Individual provider Active NPI

Rachel Anne Okonski, P.T.

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1538430145
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38453 Issued in CA
Practice address
1120 Via Callejon
Suite B
San Clemente, CA 92673-6213
Phone
(949) 498-5100
NPI assigned
Jan 13, 2012
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38453 CA Primary

Addresses

Primary practice location

1120 Via Callejon
Suite B
San Clemente, CA 92673-6213

Mailing address

1120 Via Callejon
Suite B
San Clemente, CA 92673-6213
Phone (949) 498-5100

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maxum Physical Therapy Inc Physical Therapist CurrentSince Jul 22, 2009 Accepting new patients
Interface Rehab, Inc. PastSince Nov 13, 2011 Accepting new patients

Locations

740 S Placentia Ave
#100
Placentia, CA 92870
Phone (714) 646-8318

740 S Placentia Ave
Ste 100
Placentia, CA 92870
Phone (714) 646-8318

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1538430145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 VIA CALLEJON",
            "address_2": "SUITE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736213",
            "telephone_number": "949-498-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 VIA CALLEJON",
            "address_2": "SUITE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736213",
            "telephone_number": "949-498-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONSKI",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.