Provider Demographics
NPI:1316675796
Name:RHOADES, RACHEL (OTR/L, OTD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:RHOADES
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 CLOUD VIEW LN
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-5612
Mailing Address - Country:US
Mailing Address - Phone:704-877-5636
Mailing Address - Fax:
Practice Address - Street 1:4007 CLOUD VIEW LN
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5612
Practice Address - Country:US
Practice Address - Phone:704-877-5636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15216225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist