Healthcare Provider Details

I. General information

NPI: 1932594660
Provider Name (Legal Business Name): RACHAEL CHAMBERLAIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 GUINEA RD
BREWSTER NY
10509-2611
US

IV. Provider business mailing address

2 GUINEA RD
BREWSTER NY
10509-2611
US

V. Phone/Fax

Practice location:
  • Phone: 203-577-8684
  • Fax:
Mailing address:
  • Phone: 203-577-8684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number019612
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number004410
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: