MEDICARE: RACHEL MARIE JEWETT 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	225X00000X	Occupational Therapist	OT19017	FL

General Provider Information

NPI Number	:	1295236495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MARIE JEWETT OTR/L

Provider Business Mailing Address
First Line	:	12566 115TH ST
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33778-2503
Country	:	US
Telephone Number	:	352-434-9087
Fax Number	:

Provider Business Practice Location Address
First Line	:	13801 WALSINGHAM RD
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-3237
Country	:	US
Telephone Number	:	727-593-7909
Fax Number	:

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

Provider Enumeration Date	:	02/22/2018
Last Update Date	:	02/20/2026

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