Rebecca Lynn Caudrillier, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015901-1 Issued in NY

Practice address

33-57 Harrison St
Johnson City, NY 13790-2107

Phone

(607) 763-6033

Fax

(607) 763-6853

NPI assigned

Sep 27, 2011

Last updated

Apr 13, 2022By the provider in NPPES

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

Other names 1

• Rebecca Lynn Smith Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Med Denton LLCGroup PAC ID 9638144439, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Med Denton LLC

  • Physical Therapy Clinic/Center
  • Denton, TX
  • NPI 1225073521

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Meredith S. Tittle, P.T., LLC

  dba S2S Functional Performance

  • Physical Therapy Clinic/Center
  • Flower Mound, TX
  • NPI 1245553395

  Occupational Therapist

  Medicare reassignment NPD
• D&D Sports Med Aubrey, LLC

  • Physical Therapist
  • Aubrey, TX
  • NPI 1407043292
  NPD (past)
• D&D Sports Med Sanger, LLC

  • Physical Therapy Clinic/Center
  • Sanger, TX
  • NPI 1154366458
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1083997951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6033",
            "fax_number": "607-763-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6033",
            "fax_number": "607-763-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDRILLIER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015901-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SMITH",
            "middle_name": "LYNN",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Carr
• David Channing Carter, M.D.
• Erin Michelle Casey, NP
• Kaitlyn Casiuk, NP
• Karen Castoro, FNP
• Center for Orthotic and Prosthetic Care of North Carolina, Inc. (Center for Orthotic & Prosthetic Care)
• Robbie L Centorani, PT
• Lisa M Cerutti, PT
• Amy Chaffee, SLP
• Viengsamay J Chamleunsouk

• Occupational Therapist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.