Active NPI
Rebekah Edith Konkle, MS, OTR/L
- Occupational Therapist
- Morristown, TN
National Provider Identifier
1285028845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5173
- Practice address
- 900 Trade St.
Morristown, TN 37813 - Phone
- (423) 254-1978
- Fax
- (423) 289-1072
- NPI assigned
- Mar 22, 2015
- Last updated
- Jan 27, 2023
- 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 | 5173 | TN | Primary |
Addresses
Primary practice location
900 Trade St.
Morristown, TN 37813
Mailing address
P.O. Box 1091
Morristown, TN 37816
Phone (423) 254-1978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q018282 | Medicaid | TN |
Other names 1
- Rebekah Edith Bezio
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa M. Marshall | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kidz Zone Pediatric Speech Therapy
- Speech-Language Pathologist
- Morristown, TN
- NPI 1689892507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1285028845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1091",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37816",
"telephone_number": "423-254-1978",
"fax_number": "423-289-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TRADE ST.",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37813",
"telephone_number": "423-254-1978",
"fax_number": "423-289-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONKLE",
"first_name": "REBEKAH",
"middle_name": "EDITH",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-22",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q018282",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "BEZIO",
"middle_name": "EDITH",
"credential": "MS, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.