Active NPI
Rebekah Ray
- Occupational Therapist
- Bryan, TX
National Provider Identifier
1255069217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111386
- Practice address
- 1201 Ridgedale St
Bryan, TX 77803-3722 - Phone
- (979) 230-6782
- NPI assigned
- Aug 9, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111386 | TX | Primary |
Addresses
Primary practice location
1201 Ridgedale St
Bryan, TX 77803-3722
Mailing address
1201 Ridgedale St
Bryan, TX 77803-3722
Phone (979) 230-6782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111386 | Other | TX | TEXAS OT BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111386 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1255069217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 RIDGEDALE ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778033722",
"telephone_number": "979-230-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 RIDGEDALE ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778033722",
"telephone_number": "979-230-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "REBEKAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS OT BOARD",
"identifier": "111386",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.