MEDICARE: RACHEL RHOADES OTR/L, OTD

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	15216	NC

General Provider Information

NPI Number	:	1316675796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL RHOADES OTR/L, OTD

Provider Business Mailing Address
First Line	:	4007 CLOUD VIEW LN
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5612
Country	:	US
Telephone Number	:	704-877-5636
Fax Number	:

Provider Business Practice Location Address
First Line	:	4007 CLOUD VIEW LN
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5612
Country	:	US
Telephone Number	:	704-877-5636
Fax Number	:

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

Provider Enumeration Date	:	08/12/2022
Last Update Date	:	09/24/2025

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