Rachel Lynn Wyles-de Ryk, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA4879 Issued in CA

Practice address

9518 9TH St Ste C-1
Rancho Cucamonga, CA 91730-4568

Phone

(909) 443-9919

NPI assigned

Jul 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1700439601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15444 ROCHELLE ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361030",
            "telephone_number": "909-368-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 9TH ST STE C-1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304568",
            "telephone_number": "909-443-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLES-DE RYK",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA4879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Wu, DAIM,L.AC.
• Kimberly Wu
• Qi Wu
• Melva Sosa Wyatt, DDS
• Theodore B. Wyatt Jr.
• Steve Robert Wysocki, PH.D.
• Jackson Xia
• Rongrong Xiang, RBT
• Monica B Xie, NP
• Xtra Care Medical Transport, Inc.

• Occupational Therapy Assistant in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.