MEDICARE: IVY ELIZABETH-RAINWATER BAKER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	28649	CA

General Provider Information

NPI Number	:	1245183599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVY ELIZABETH-RAINWATER BAKER OTR/L

Provider Business Mailing Address
First Line	:	707 POOISH AVE
Second Line	:
City	:	SAN JACINTO
State	:	CA
Zip	:	92582-2785
Country	:	US
Telephone Number	:	951-536-9527
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 S SANDERSON AVE
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92545-8790
Country	:	US
Telephone Number	:	855-454-3784
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

Similar Medicare Providers

1912850744 — CEOME LLC
Practice Location Address:

4452 GALLOP CT
HEMET, CA
92545-7305

Practice Phone: 310-885-1409
Practice Fax: 310-885-1409

1215887088 — JAY OCHOA PA
Practice Location Address:

1560 CALATHEA RD
HEMET, CA
92545-9002

Practice Phone: 951-259-3544
Practice Fax:

1356292197 — NATALIA SALAZAR
Practice Location Address:

1919 RODEO DR
HEMET, CA
92545-5512

Practice Phone: 951-240-8897
Practice Fax:

1710988027 — DR. RICHARD KENNETH SIMONDS O.D.
Practice Location Address:

3601 W FLORIDA AVE
HEMET, CA
92545-3514

Practice Phone: 951-652-3072
Practice Fax: 951-766-4244

1255328886 — DR. HEATHER L HICKS MD
Practice Location Address:

4020 W FLORIDA AVE
HEMET, CA
92545-5279

Practice Phone: 951-925-9565
Practice Fax: 951-766-7621

1902893357 — DR. JOHN ARCHIBALD O.D.
Practice Location Address:

3953 W STETSON AVE
HEMET, CA
92545-9687

Practice Phone: 951-652-4343
Practice Fax: 469-914-9372

Directions to “ IVY ELIZABETH-RAINWATER BAKER OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.