Rebecca Diane Fortune, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-3097 Issued in OH

Practice address

2025 Hayes Ave
Sandusky, OH 44870-4739

Phone

(419) 627-2273

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Diane Coffman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1003561119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 WICKFORD PL",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391467",
            "telephone_number": "419-602-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704739",
            "telephone_number": "419-627-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "REBECCA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "COFFMAN",
            "middle_name": "DIANE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darryl Flint
• Barbara Foland
• Ashley Folger
• Julie Ann Fontana, LDO,ABOC,HIS
• Alicyn Dawn Fooce
• Beth Ellen Foss, LPN
• Sophia Fotinos, O.D.
• Melissa Fowler, BA, CT
• Elyse Fox
• Frank Lynn Fox Jr., AUDIOLOGIST

• All providers in Sandusky, OH
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.