Individual provider Active NPI

Carrie Ilene Lewis-Rahhal, COTA/L

  • Occupational Therapy Assistant
  • Hampton, VA
National Provider Identifier
1770935504
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A02348 Issued in MD
Practice address
54 Mizzen Cir
Hampton, VA 23664-1780
Phone
(757) 236-3451
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A02348 MD Primary
Occupational Therapy Assistant 224Z00000X 0131001123 VA

Addresses

Primary practice location

54 Mizzen Cir
Hampton, VA 23664-1780

Mailing address

54 Mizzen Cir
Hampton, VA 23664-1780
Phone (757) 236-3451

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

LicenseStateTypeSpecialty
A02348MDMDOccupational Therapy Assistant
0131001123VAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1770935504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MIZZEN CIR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236641780",
            "telephone_number": "757-236-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MIZZEN CIR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236641780",
            "telephone_number": "757-236-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-RAHHAL",
        "first_name": "CARRIE",
        "middle_name": "ILENE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02348",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.