NPI Number: 1619510229
Health Care Provider/Practitioner: RACHAEL E WHITE OTD, OTR/L, ATC, LAT
Information about “1619510229” NPI (RACHAEL E WHITE OTD, OTR/L, ATC, LAT)
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<?xml version="1.0" encoding="UTF-8"?>
<Npi>
<NPI>
1619510229
</NPI>
<EntityType>
Individual
</EntityType>
<ReplacementNPI/>
<EIN/>
<IsSoleProprietor>
N
</IsSoleProprietor>
<IsOrgSubpart/>
<ParentOrgLBN/>
<ParentOrgTIN/>
<OrgName/>
<LastName>
WHITE
</LastName>
<FirstName>
RACHAEL
</FirstName>
<MiddleName>
E
</MiddleName>
<NamePrefix/>
<NameSuffix/>
<Credential>
OTD, OTR/L, ATC, LAT
</Credential>
<OtherOrgName/>
<OtherOrgNameTypeCode/>
<OtherLastName>
RICE
</OtherLastName>
<OtherFirstName>
RACHAEL
</OtherFirstName>
<OtherMiddleName/>
<OtherNamePrefix/>
<OtherNameSuffix/>
<OtherCredential>
OTD, OTR/L, ATC, LAT
</OtherCredential>
<OtherLastNameTypeCode>
1
</OtherLastNameTypeCode>
<FirstLineMailingAddress>
15205 PLANTATION OAKS DR APT 5
</FirstLineMailingAddress>
<SecondLineMailingAddress/>
<MailingAddressCityName>
TAMPA
</MailingAddressCityName>
<MailingAddressStateName>
FL
</MailingAddressStateName>
<MailingAddressPostalCode>
33647-2176
</MailingAddressPostalCode>
<MailingAddressCountryCode>
US
</MailingAddressCountryCode>
<MailingAddressTelephoneNumber>
813-375-1668
</MailingAddressTelephoneNumber>
<MailingAddressFaxNumber/>
<FirstLinePracticeLocationAddress>
2370 BRUCE B DOWNS BLVD STE 301
</FirstLinePracticeLocationAddress>
<SecondLinePracticeLocationAddress/>
<PracticeLocationAddressCityName>
WESLEY CHAPEL
</PracticeLocationAddressCityName>
<PracticeLocationAddressStateName>
FL
</PracticeLocationAddressStateName>
<PracticeLocationAddressPostalCode>
33544-9215
</PracticeLocationAddressPostalCode>
<PracticeLocationAddressCountryCode>
US
</PracticeLocationAddressCountryCode>
<PracticeLocationAddressTelephoneNumber>
813-973-1033
</PracticeLocationAddressTelephoneNumber>
<PracticeLocationAddressFaxNumber/>
<EnumerationDate>
10/26/2019
</EnumerationDate>
<LastUpdateDate>
08/25/2025
</LastUpdateDate>
<NPIDeactivationReasonCode/>
<NPIDeactivationReason/>
<NPIDeactivationDate/>
<NPIReactivationDate/>
<GenderCode>
F
</GenderCode>
<Gender>
Female
</Gender>
<AuthorizedOfficialLastName/>
<AuthorizedOfficialFirstName/>
<AuthorizedOfficialMiddleName/>
<AuthorizedOfficialTitle/>
<AuthorizedOfficialNamePrefix/>
<AuthorizedOfficialNameSuffix/>
<AuthorizedOfficialCredential/>
<AuthorizedOfficialTelephoneNumber/>
<Taxonomies>
<Taxonomy>
<TaxonomyCode>
2255A2300X
</TaxonomyCode>
<TaxonomyName>
Athletic Trainer
</TaxonomyName>
<LicenseNumber>
AL5793
</LicenseNumber>
<LicenseNumberStateCode>
FL
</LicenseNumberStateCode>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
225X00000X
</TaxonomyCode>
<TaxonomyName>
Occupational Therapist
</TaxonomyName>
<LicenseNumber>
OT25665
</LicenseNumber>
<LicenseNumberStateCode>
FL
</LicenseNumberStateCode>
<PrimaryTaxonomySwitch>
Y
</PrimaryTaxonomySwitch>
</Taxonomy>
</Taxonomies>
<HealthcareProviderTaxonomyGroups/>
</Npi>
<?xml version="1.0" encoding="UTF-8"?>
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" elementFormDefault="qualified" attributeFormDefault="unqualified">
<xs:element name="Npi">
<xs:complexType>
<xs:sequence>
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<xs:element name="IsSoleProprietor" type="xs:string"></xs:element>
<xs:element name="IsOrgSubpart"></xs:element>
<xs:element name="ParentOrgLBN"></xs:element>
<xs:element name="ParentOrgTIN"></xs:element>
<xs:element name="OrgName"></xs:element>
<xs:element name="LastName" type="xs:string"></xs:element>
<xs:element name="FirstName" type="xs:string"></xs:element>
<xs:element name="MiddleName"></xs:element>
<xs:element name="NamePrefix" type="xs:string"></xs:element>
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<xs:element name="OtherLastName"></xs:element>
<xs:element name="OtherFirstName"></xs:element>
<xs:element name="OtherMiddleName"></xs:element>
<xs:element name="OtherNamePrefix"></xs:element>
<xs:element name="OtherNameSuffix"></xs:element>
<xs:element name="OtherCredential"></xs:element>
<xs:element name="OtherLastNameTypeCode"></xs:element>
<xs:element name="FirstLineMailingAddress" type="xs:string"></xs:element>
<xs:element name="SecondLineMailingAddress"></xs:element>
<xs:element name="MailingAddressCityName" type="xs:string"></xs:element>
<xs:element name="MailingAddressStateName" type="xs:string"></xs:element>
<xs:element name="MailingAddressPostalCode" type="xs:string"></xs:element>
<xs:element name="MailingAddressCountryCode" type="xs:string"></xs:element>
<xs:element name="MailingAddressTelephoneNumber" type="xs:string"></xs:element>
<xs:element name="MailingAddressFaxNumber"></xs:element>
<xs:element name="FirstLinePracticeLocationAddress" type="xs:string"></xs:element>
<xs:element name="SecondLinePracticeLocationAddress" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressCityName" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressStateName" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressPostalCode" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressCountryCode" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressTelephoneNumber" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressFaxNumber"></xs:element>
<xs:element name="EnumerationDate" type="xs:string"></xs:element>
<xs:element name="LastUpdateDate" type="xs:string"></xs:element>
<xs:element name="NPIDeactivationReasonCode"></xs:element>
<xs:element name="NPIDeactivationReason"></xs:element>
<xs:element name="NPIDeactivationDate"></xs:element>
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<xs:element name="AuthorizedOfficialTitle"></xs:element>
<xs:element name="AuthorizedOfficialNamePrefix"></xs:element>
<xs:element name="AuthorizedOfficialNameSuffix"></xs:element>
<xs:element name="AuthorizedOfficialCredential"></xs:element>
<xs:element name="AuthorizedOfficialTelephoneNumber"></xs:element>
<xs:element name="Taxonomies">
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<xs:element name="Taxonomy" maxOccurs="unbounded">
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<xs:element name="TaxonomyCode" type="xs:string"></xs:element>
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<xs:element name="LicenseNumber" type="xs:string"></xs:element>
<xs:element name="LicenseNumberStateCode" type="xs:string"></xs:element>
<xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
</xs:sequence>
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<xs:element name="OtherIdentifier" maxOccurs="unbounded">
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<xs:element name="OtherIdentifierName" type="xs:string"></xs:element>
<xs:element name="OtherIdentifierType" type="xs:string"></xs:element>
<xs:element name="OtherIdentifierState" type="xs:string"></xs:element>
<xs:element name="OtherIdentifierIssuer"></xs:element>
</xs:sequence>
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</xs:element>
</xs:sequence>
</xs:complexType>
</xs:element>
<xs:element name="HealthcareProviderTaxonomyGroups"></xs:element>
</xs:sequence>
</xs:complexType>
</xs:element>
</xs:schema>