MEDICARE: RACHEL LEVY OTD, 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

General Provider Information

NPI Number	:	1386309292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LEVY OTD, OTR/L

Provider Business Mailing Address
First Line	:	685 MARLESTA RD
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2604
Country	:	US
Telephone Number	:	408-881-3669
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 MARLESTA RD
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2604
Country	:	US
Telephone Number	:	510-231-1454
Fax Number	:

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

Provider Enumeration Date	:	11/04/2021
Last Update Date	:	03/03/2026

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