Active NPI
Rebecca Puffer, OTR/L
- Occupational Therapist
- New Buffalo, MI
National Provider Identifier
1083006605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201011040
- Practice address
- 45 N Whittaker St Ste 204
New Buffalo, MI 49117-1173 - Phone
- (269) 235-9821
- Fax
- (269) 359-3735
- NPI assigned
- Feb 19, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201011040 | MI | Primary |
Addresses
Primary practice location
45 N Whittaker St Ste 204
New Buffalo, MI 49117-1173
Mailing address
3893 W Glendale St
Boise, ID 83703-5103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201011040 | MI | MD | Occupational Therapist |
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.
-
- Speech-Language Pathologist
- Saint Joseph, MI
- NPI 1952099715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693699200000",
"number": "1083006605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3893 W GLENDALE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837035103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 N WHITTAKER ST STE 204",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491171173",
"telephone_number": "269-235-9821",
"fax_number": "269-359-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUFFER",
"first_name": "REBECCA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2023-09-03",
"certification_date": "2023-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201011040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Buffalo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.