Healthcare Provider Details

I. General information

NPI: 1538075783
Provider Name (Legal Business Name): RACHAEL BERTINI OTR/L, CNDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 FRANKFORT SQ
COLUMBUS OH
43206-1059
US

IV. Provider business mailing address

267 FRANKFORT SQ
COLUMBUS OH
43206-1059
US

V. Phone/Fax

Practice location:
  • Phone: 631-560-7805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT012845
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: