Healthcare Provider Details

I. General information

NPI: 1063338028
Provider Name (Legal Business Name): RACHEL GOPFERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 ERDMAN WAY STE 208
LEOMINSTER MA
01453-1840
US

IV. Provider business mailing address

17 WUNSCHEL DR
SUTTON MA
01590-3729
US

V. Phone/Fax

Practice location:
  • Phone: 978-870-1840
  • Fax:
Mailing address:
  • Phone: 774-287-2807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: