Rebecca Basanta

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

355 Captains Row
Merritt Island, FL 32952-5808

Phone

(714) 310-4223

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1245580638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CAPTAINS ROW",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525808",
            "telephone_number": "714-310-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CAPTAINS ROW",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525808",
            "telephone_number": "714-310-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2565 Judge Fran Jamieson Way",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329405998",
            "country_code": "US",
            "telephone_number": "321-634-3688",
            "fax_number": "321-504-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASANTA",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen J Barbee, RN
• Jennifer Bargo, PT
• Emily Barlow, DDS
• Jeffrey Barlow, D.D.S.
• Brittany Barna, BIRTH DOULA
• Robert L. Bashore, M.D.
• Lisa B Bauman, RPH, CPH
• Jessica Rachael Beal
• Leander Jostin Beams Sr.
• John C Beaty, DDS

• Developmental Therapist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.