Active NPI
Ruth Ann Rauch, COTA/L
- Occupational Therapy Assistant
- Wauchula, FL
National Provider Identifier
1972859437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA 11660
- Practice address
- 1962 Vandolah Rd
Wauchula, FL 33873-8726 - Phone
- (863) 767-4411
- NPI assigned
- Aug 1, 2012
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | OTA 11660 | FL | Primary |
Addresses
Primary practice location
1962 Vandolah Rd
Wauchula, FL 33873-8726
Mailing address
507 N 9TH Ave
Wauchula, FL 33873-2221
Phone (812) 470-7145
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281890 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| OTA 11660 | Other | FL | STATE OF FL DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| OTA 11660 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1972859437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 N 9TH AVE",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338732221",
"telephone_number": "812-470-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1962 VANDOLAH RD",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338738726",
"telephone_number": "863-767-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "RUTH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA 11660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "281890",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FL DEPARTMENT OF HEALTH",
"identifier": "OTA 11660",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.