Individual provider Active NPI

Rebecca Fleetwood, MA, MT-BC,LCAT

  • Music Therapist
  • New York, NY
National Provider Identifier
1184754418
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
000510 Issued in NY
Practice address
207 E 84TH St
Suite 206
New York, NY 10028-2972
Phone
(646) 522-1042
NPI assigned
Mar 6, 2007
Last updated
Feb 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 000510 NY Primary

Addresses

Primary practice location

207 E 84TH St
Suite 206
New York, NY 10028-2972

Mailing address

201 Saint Pauls Ave
Apt 14S
Jersey City, NJ 07306-3724
Phone (646) 522-1042

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000510NYMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1184754418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT PAULS AVE",
            "address_2": "APT 14S",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063724",
            "telephone_number": "646-522-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 84TH ST",
            "address_2": "SUITE 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282972",
            "telephone_number": "646-522-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEETWOOD",
        "first_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "MA, MT-BC,LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NY",
            "license": "000510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.