Active NPI
Rachel Leslie Haynes, COTA/L
- Occupational Therapy Assistant
- Decatur, AL
National Provider Identifier
1639413065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2679
- Practice address
- 1858 W Brownstone CT SW
Decatur, AL 35603-2027 - Phone
- (256) 654-2477
- NPI assigned
- Nov 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2679 | AL | Primary |
Addresses
Primary practice location
1858 W Brownstone CT SW
Decatur, AL 35603-2027
Mailing address
1858 W Brownstone CT SW
Decatur, AL 35603-2027
Phone (256) 654-2477
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2679 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1639413065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1858 W BROWNSTONE CT SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356032027",
"telephone_number": "256-654-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1858 W BROWNSTONE CT SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356032027",
"telephone_number": "256-654-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "RACHEL",
"middle_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AL",
"license": "2679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
- Leasie Hawkins
- Riley L Hawkins, D.M.D.
- Samuel Gregory Hawkins, D.M.D.
- Mary Haycraft, LCSW
- Hayes Eye Care LLC
- Healthcare Authority of Morgan County (Decatur General Hospital PEC)
- Healthcare Investment Group Inc. (First Response)
- Healthgroup of Alabama, LLC (Home Health Group - Decatur)
- Healthsource of Decatur
- Healthy Solutions Counseling and Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.