Individual provider Active NPI

Rebecca Vankeuren

  • Occupational Therapy Assistant
  • Orchard Park, NY
National Provider Identifier
1184405805
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
006954-01 Issued in NY
Practice address
3755 Abbott Rd
Orchard Park, NY 14127-2115
Phone
(716) 202-1161
Fax
(716) 202-4423
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 006954-01 NY Primary

Addresses

Primary practice location

3755 Abbott Rd
Orchard Park, NY 14127-2115

Mailing address

3755 Abbott Rd
Orchard Park, NY 14127-2115
Phone (716) 202-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006954-01NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Children's SLP, PT & OT Associates CurrentSince Oct 15, 2023 Accepting new patients

Locations

3755 Abbott Rd
Orchard Park, NY 14127
Phone (716) 202-1161

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

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1184405805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ABBOTT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272115",
            "telephone_number": "716-202-1161",
            "fax_number": "716-202-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ABBOTT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272115",
            "telephone_number": "716-202-1161",
            "fax_number": "716-202-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKEUREN",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "006954-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.