Rebecca Throneberry, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1702724 Issued in KS

Practice address

2700 Somerset Dr
Prairie Village, KS 66206-1173

Phone

(913) 276-0901

NPI assigned

Jun 18, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ellis Rehabilitation Services, Inc.

  • Rehabilitation Clinic/Center
  • Tyler, TX
  • NPI 1245240365
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1205031689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE TIMBERCREEK DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866252",
            "telephone_number": "816-835-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SOMERSET DR",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061173",
            "telephone_number": "913-276-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 E Grand Plz",
            "address_purpose": "LOCATION",
            "city": "Grand Saline",
            "state": "TX",
            "postal_code": "751401932",
            "country_code": "US",
            "telephone_number": "903-962-7901",
            "fax_number": "903-962-3082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 Foster St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662122295",
            "country_code": "US",
            "telephone_number": "913-686-9309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THRONEBERRY",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009028082",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111326",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1702724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100190-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Isabelle Thomason
• Christopher Thompson
• Kelley S. Thompson, DDS
• Susan Thompson, LSCSW
• Thrive KC, LLC
• Madeline Danielle Thurman, DPT
• Nancy Ann Tilbury, LPC
• Danika Rae Tindall, OTP
• William Benton Toalson, M.D.
• Gentri D Tollefson

• Occupational Therapist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.