Individual provider Active NPI

Sondra L Rauls

  • Occupational Therapy Assistant
  • Carthage, MO
National Provider Identifier
1538853676
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2015023350 Issued in MO
Practice address
17868 Hawthorne Rd
Carthage, MO 64836-8608
Phone
(314) 804-9798
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA0000004101 TN
Occupational Therapy Assistant 224Z00000X OT-2025-0039 NM
Occupational Therapy Assistant 224Z00000X OTP-OTA-LIC-11512 MT
Occupational Therapy Assistant 224Z00000X 2015023350 MO Primary

Addresses

Primary practice location

17868 Hawthorne Rd
Carthage, MO 64836-8608

Mailing address

PO Box 4874
Joplin, MO 64803-4874
Phone (314) 804-9798

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
2015023350MOMDOccupational Therapy Assistant
OTP-OTA-LIC-11512MTMDOccupational Therapy Assistant
OT-2025-0039NMMDOccupational Therapy Assistant
OTA0000004101TNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1538853676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4874",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648034874",
            "telephone_number": "314-804-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17868 HAWTHORNE RD",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648368608",
            "telephone_number": "314-804-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULS",
        "first_name": "SONDRA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000004101",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OT-2025-0039",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "OTP-OTA-LIC-11512",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2015023350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.