Active NPI
Rachel Elaine Summerlin, OTD, OTR/L
- Occupational Therapist
- Valley, AL
National Provider Identifier
1700644622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6362
- Practice address
- 4800 48TH St FL 2
Valley, AL 36854-3666 - Phone
- (334) 710-0091
- NPI assigned
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 6362 | AL | Primary |
Addresses
Primary practice location
4800 48TH St FL 2
Valley, AL 36854-3666
Mailing address
103 Creek Ridge Rd
Dothan, AL 36301-6043
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 |
|---|---|---|---|
| 6362 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1700644622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CREEK RIDGE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363016043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 48TH ST FL 2",
"city": "VALLEY",
"state": "AL",
"postal_code": "368543666",
"telephone_number": "334-710-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERLIN",
"first_name": "RACHEL",
"middle_name": "ELAINE",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "6362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley, AL
- Crystal Smith, PHARM D
- Joshua Smith, D.P.T.
- Southern Eye Associates Al
- Southern Medical Clinic PC
- State of Alabama Department of Public Health
- Swaroop N Nyshadham MD
- The Choice Medical Supply Inc.
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.