Rebecca Irene Moyer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

311044 Issued in OR

Practice address

2198 NE Stephens St Ste 101
Roseburg, OR 97470-1410

Phone

(541) 900-1418

Fax

(541) 900-1419

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rebecca Irene Polansky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Explore Engage Enjoy

  • Pediatric Occupational Therapist
  • Roseburg, OR
  • NPI 1073212924
  NPD Authorized official
• Connect the Dots Pediatric Therapy, Inc

  • Pediatric Occupational Therapist
  • Eugene, OR
  • NPI 1285074633
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1134568629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 NE STEPHENS ST STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701410",
            "telephone_number": "541-900-1418",
            "fax_number": "541-900-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 NE STEPHENS ST STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701410",
            "telephone_number": "541-900-1418",
            "fax_number": "541-900-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "REBECCA",
        "middle_name": "IRENE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115666",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104482",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "311044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "POLANSKY",
            "middle_name": "IRENE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Edward Moss, M.D.
• Razmia Mostafavi, PHARMD
• Motivational Parent
• Mountain Wellness LLC
• Mountain West Derm - Blackhart PLLC
• Sarah Jane Moyer, RN, BSN
• Ashley M Mozingo
• Marilyn Mull, LCSW
• Shannon Lee Munn, CADCII 18-10-08
• Christie Jean Murphy, MA

• All providers in Roseburg, OR
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.