Individual provider Active NPI

Rachael Hippolyte, OTR/L

  • Pediatric Occupational Therapist
  • Wayland, MA
National Provider Identifier
1689806473
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6477 Issued in MA
Practice address
70 Boston Post Rd
Wayland, MA 01778-2422
Phone
(617) 564-1397
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 6477 MA Primary

Addresses

Primary practice location

70 Boston Post Rd
Wayland, MA 01778-2422

Mailing address

70 Boston Post Rd
Wayland, MA 01778-2422

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

State licenses

LicenseStateTypeSpecialty
6477MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Milestones LLC Pediatrics CurrentSince Oct 22, 2023 Accepting new patients

Locations

70 Boston Post Rd
Wayland, MA 01778
Phone (617) 201-8425

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1689806473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782422",
            "telephone_number": "617-564-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPPOLYTE",
        "first_name": "RACHAEL",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "6477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.