Individual provider Active NPI

Michaela Anne Raach, OTR/L

  • Occupational Therapist
  • Kill Devil Hills, NC
National Provider Identifier
1609125384
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8417 Issued in NC
Practice address
3210 N Croatan Hwy Ste 1B
Kill Devil Hills, NC 27948-8515
Phone
(704) 654-8599
Fax
(980) 938-6088
NPI assigned
Sep 10, 2012
Last updated
Oct 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8417 NC Primary

Addresses

Primary practice location

3210 N Croatan Hwy Ste 1B
Kill Devil Hills, NC 27948-8515

Mailing address

3210 N Croatan Hwy Ste 1B
Kill Devil Hills, NC 27948-8515
Phone (704) 654-8599

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
8417NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Concierge Therapeutics, PLLC Occupational Therapist PastSince Oct 13, 2024 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, 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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1609125384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N CROATAN HWY STE 1B",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488515",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N CROATAN HWY STE 1B",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488515",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAACH",
        "first_name": "MICHAELA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kill Devil Hills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.