Rachel Carolyn Deroy, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1547 Issued in HI

Practice address

94-1390 Kulewa Loop
#42/U
Waipahu, HI 96797-4390

Phone

(601) 218-7075

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rachel Carolyn Clarke Former name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hawaii Hand & Rehabilitation Services LLC

  • Rehabilitation Clinic/Center
  • Honolulu, HI
  • NPI 1265676712

  Occupational Therapist

  Medicare reassignment NPD
• Deroy Therapy LLC

  • Occupational Therapist
  • Waipahu, HI
  • NPI 1376992859
  NPD (past) Authorized official
• Hawaii Hand & Rehabilitation Services LLC

  • Hand Occupational Therapist
  • Honolulu, HI
  • NPI 1033658968
  NPD (past)
• Hawaii Hand & Rehabilitation Services LLC

  • Hand Occupational Therapist
  • Kailua, HI
  • NPI 1780309302
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1699124180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1390 KULEWA LOOP",
            "address_2": "#42/U",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974390",
            "telephone_number": "601-218-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1390 KULEWA LOOP",
            "address_2": "#42/U",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974390",
            "telephone_number": "601-218-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROY",
        "first_name": "RACHEL",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CLARKE",
            "middle_name": "CAROLYN",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.