Individual provider Active NPI

Rebekah Edith Konkle, MS, OTR/L

  • Occupational Therapist
  • Morristown, TN
National Provider Identifier
1285028845
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5173 Issued in TN
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q018282MedicaidTN

Other names 1

  • Rebekah Edith Bezio Former name

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

OrganizationSpecialtyStatusNew patients
Lisa M. Marshall PastSince Jan 29, 2023 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.

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.

Verify at the official NPI Registry.