Active NPI
Rebecca M Massey, OTA
- Occupational Therapy Assistant
- Marshall, AR
National Provider Identifier
1366729808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT-A664
- Practice address
- 502 S Highway 27
Marshall, AR 72650-7638 - Phone
- (479) 967-2322
- Fax
- (479) 967-2876
- NPI assigned
- Nov 11, 2011
- Last updated
- Feb 13, 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 Therapy Assistant | 224Z00000X | OT-A664 | AR | Primary |
Addresses
Primary practice location
502 S Highway 27
Marshall, AR 72650-7638
Mailing address
P.O. Drawer 2109
Russellville, AR 72811-2109
Phone (479) 967-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189053721 | Medicaid | AR |
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 |
|---|---|---|---|
| OT-A664 | AR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1366729808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. DRAWER 2109",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728112109",
"telephone_number": "479-967-2322",
"fax_number": "479-967-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S HIGHWAY 27",
"city": "MARSHALL",
"state": "AR",
"postal_code": "726507638",
"telephone_number": "479-967-2322",
"fax_number": "479-967-2876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "REBECCA",
"middle_name": "M",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189053721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.