Rachel Caudill, COTA

Individual provider Active NPI Occupational Therapy Assistant · Crystal River, FL

NPI 1548824709 · NPPES record last updated Apr 23, 2019

Key facts

NPI
1548824709
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
17164 (FL)
Practice address
335 NE 10TH Ave
Crystal River, FL 34429-4456
Phone
(352) 795-5552
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
17164FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
O. T. 4 Kids, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 17164 FL Yes

Addresses

Primary practice location

335 NE 10TH Ave
Crystal River, FL 34429-4456

Mailing address

13318 Asbury St
Spring Hill, FL 34609-5118
Phone (352) 232-3919

Other providers in Crystal River, FL

All providers in Crystal River, FL · Occupational Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.