Active NPI
Rebecca Lee Beckley, OTD, OTR/L
- Mental Health Occupational Therapist
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 433262
- Practice address
- 3878 Beverly Ave NE BLDG H
Salem, OR 97305-1394 - Phone
- (503) 576-4600
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 433262 | OR | Primary |
Addresses
Primary practice location
3878 Beverly Ave NE BLDG H
Salem, OR 97305-1394
Mailing address
13463 SE 119TH CT
Clackamas, OR 97015-9228
Phone (503) 710-7520
Other practice location 1
182 SW Academy St
Dallas, OR 97338-1996
Phone (503) 623-9289 ext. 2801
Other practice location 2
445 3rd Ave SW
Albany, OR 97321-2272
Phone (541) 967-3866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4475 SW Scholls Ferry Rd
Suite 258
Portland, OR 97225-1958
Phone (503) 292-5882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 433262 | OR | MD | Mental Health Occupational Therapist |
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 and National Provider Directory roles.
-
dba Goodell Physical Therapy & Fitness Training
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1013908169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1205453701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13463 SE 119TH CT",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159228",
"telephone_number": "503-710-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3878 BEVERLY AVE NE BLDG H",
"city": "SALEM",
"state": "OR",
"postal_code": "973051394",
"telephone_number": "503-576-4600"
}
],
"practiceLocations": [
{
"address_1": "182 SW Academy St",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "OR",
"postal_code": "973381996",
"country_code": "US",
"telephone_number": "503-623-9289 x2801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 3rd Ave SW",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973212272",
"country_code": "US",
"telephone_number": "541-967-3866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKLEY",
"first_name": "REBECCA",
"middle_name": "LEE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "OR",
"license": "433262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.