Rebecka L Smith OT, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

REBECKA L SMITH OT, LLC

Practice address

5715 Highway 85 N
Crestview, FL 32536-9003

Phone

(850) 331-3581

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

REBECKA L SMITH OT, LLCAs reported in NPPES

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

Authorized official

Name

Rebecka SmithNPI 1144644782

Title

Occupational Therapist

Phone

(850) 543-8893

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Rebecka L Smith OT LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecka Smith, MSOT, OTR/L

  • Pediatric Occupational Therapist
  • Ozark, AL
  • NPI 1144644782
  NPD Authorized official

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1184238990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 NAUGHTON DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 HIGHWAY 85 N",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369003",
            "telephone_number": "850-331-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECKA L SMITH OT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REBECKA L SMITH OT, LLC",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REBECKA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "850-543-8893"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5715 Highway 85 N",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325369003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kendrick Douglas Rattray III
• David Scott Rawson, D.C.
• Jaclyn Rawson, D.C.
• Margarette Beth Reade, PHARMD
• Kara Trapp Reardon, M.D.
• Emily Anne Reed
• Reeves Manor LLC
• Allison Rego
• Rehab Technologies LLC
• Heather Reiman, COTA/L

• Occupational Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.