Active NPI
Rachel Kaye Portela
- Occupational Therapist
- Provo, UT
National Provider Identifier
1891112447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8957425-4201
- Practice address
- 1034 N 500 W
Provo, UT 84604 - Phone
- (801) 357-7765
- NPI assigned
- Mar 20, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-919 | ID | |
| Occupational Therapist | 225X00000X | 8957425-4201 | UT | Primary |
Addresses
Primary practice location
1034 N 500 W
Provo, UT 84604
Mailing address
10255 S 1St E
Idaho Falls, ID 83404-7776
Phone (208) 521-9967
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 |
|---|---|---|---|
| OT-919 | ID | MD | Occupational Therapist |
| 8957425-4201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1891112447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10255 S 1ST E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047776",
"telephone_number": "208-521-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-357-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTELA",
"first_name": "RACHEL",
"middle_name": "KAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-919",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "8957425-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.