NPIMap

Individual provider Active NPI

Rebecca Elizabeth Mary Racine, COTA/L

  • Occupational Therapy Assistant
  • Federal Way, WA
National Provider Identifier
1255600185
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC00000978 Issued in WA
Practice address
1010 South 336TH Street, Suite 210
Federal Way, WA 98003-7354
Phone
(866) 835-8091
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC00000978 WA Primary

Addresses

Primary practice location

1010 South 336TH Street, Suite 210
Federal Way, WA 98003-7354

Mailing address

1010 South 336TH Street, Suite 210
Federal Way, WA 98003-7354
Phone (253) 835-8091

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

LicenseStateTypeSpecialty
OC00000978WAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Services Inc. Past Accepting new patients
Supplemental Healthcare Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1255600185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SOUTH 336TH STREET, SUITE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354",
            "telephone_number": "253-835-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SOUTH 336TH STREET, SUITE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354",
            "telephone_number": "866-835-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACINE",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH MARY",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC00000978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.