Rachel Carrillo

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

124827 Issued in TX

Practice address

3200 Broadway Blvd Ste 160
Garland, TX 75043-1571

Phone

(972) 454-9309

Fax

(972) 338-9378

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synaptic Pediatric Therapies, LLC.

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1497110670
  NPD
• Synaptic Pediatric Therapies, LLC.

  dba Synaptic Pediatric Neuropsychology

  • Clinical Neuropsychologist
  • Richardson, TX
  • NPI 1457275497
  NPD (past)

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1811728116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852647",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750852647",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 160",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431571",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Carlson, PA-C
• Carlton K Clarke M.D., P.a,
• Lisette Carlton, MS CCC-SLP
• Carnival Dental PLLC
• Carolyn's Unique Learning Activity Center Limited Liability Company
• Destinie Carroll, DDS
• Carrollton Surgery Center PA
• Carrus Behavioral Hospital LLC (Carrus Care Garland)
• Carter Care Services Incorporated (Carter Care Therapeutic Services)
• Adrina Carter, LMT

• Occupational Therapist in Garland, TX
• Providers in Garland, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.