Rebecca J Baltenberger, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5337 Issued in SC

Practice address

2 Griffith Rd
Greenville, SC 29607-3503

Phone

(855) 525-3683

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magnolia Medical Group, Inc. 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Magnolia Medical Group Inc

  • Physical Therapist
  • Greenville, SC
  • NPI 1386629558

  Occupational Therapist, SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1053936385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLUFFTON CIR",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874325",
            "telephone_number": "229-894-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRIFFITH RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073503",
            "telephone_number": "855-525-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTENBERGER",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baxter William Ballinger
• William H Ballinger Jr., M.D.
• William H. Ballinger III, O.D.
• Kimberly M Balogh, MD
• Mohamed Adnan Balout, MD
• Laura Dodd Baltz, RN
• Austin Bambach
• Halla Ahmed Banafa
• Himabindu Bandarupalli, M.D
• Stephanie Bank, NP

• All providers in Greenville, SC
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.