Active NPI
Rebekah Noel Smiley
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1053030502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1610 SE Glenwood St
Portland, OR 97202-5615 - Phone
- (503) 927-3598
- NPI assigned
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1610 SE Glenwood St
Portland, OR 97202-5615
Mailing address
8030 SE 68TH Ave
Portland, OR 97206-9629
Phone (412) 973-5445
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services OR LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Or LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
10121 SE Sunnyside Rd
Ste 300
Clackamas, OR 97015
Phone (503) 567-5113
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Clackamas, OR
- NPI 1649007808
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1053030502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 SE 68TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972069629",
"telephone_number": "412-973-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 SE GLENWOOD ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972025615",
"telephone_number": "503-927-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "REBEKAH",
"middle_name": "NOEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services OR LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10121 SE Sunnyside Rd Ste 300",
"city": "Clackamas",
"state": "OR",
"country_code": "US",
"postal_code": "970155713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.