Active NPI
Rebekah Diane Ice, OTR/L
- Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1346529708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1613
- Practice address
- 1604 SW 93Rd St
Oklahoma City, OK 73159-7112 - Phone
- (405) 919-9025
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1613 | OK | Primary |
| Occupational Therapist | 225X00000X | 056.008779 | IL | |
| Occupational Therapist | 225X00000X | 3049 | CO |
Addresses
Primary practice location
1604 SW 93Rd St
Oklahoma City, OK 73159-7112
Mailing address
1604 SW 93Rd St
Oklahoma City, OK 73159-7112
Phone (405) 919-9025
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 |
|---|---|---|---|
| 3049 | CO | MD | General Practice Dentistry |
| 056.008779 | IL | MD | Occupational Therapist |
| 1613 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1346529708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 SW 93RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597112",
"telephone_number": "405-919-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 SW 93RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597112",
"telephone_number": "405-919-9025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICE",
"first_name": "REBEKAH",
"middle_name": "DIANE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1613",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.008779",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "3049",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.