Rachel Pudlik

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005615 Issued in IL

Practice address

854 E Williams Field Rd Ste 105
Gilbert, AZ 85295-0703

Phone

(480) 398-4280

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1841850369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760218",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 E WILLIAMS FIELD RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950703",
            "telephone_number": "480-398-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDLIK",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-000069",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn P Pruzansky, DMD
• Karin M Pryor, R.D.N
• Gianna M Puccio, M
• Keely Puchalski, ND
• Nicholas T. Puchalski, LMFT
• Trinidad Puentes
• Ian Theodore Puetz, D.C.
• Kelly Pugh, MD
• Kathryn Pugmire
• Rebecca Ann Pukpumin, SLP

• Occupational Therapy Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.