Active NPI
Rebeccah I Raymond, COTA
- Occupational Therapist
- Houston, TX
National Provider Identifier
1376053272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 212116
- Practice address
- 13220 Breton Ridge Street
Houston, TX 77070 - Phone
- (281) 389-3000
- NPI assigned
- Oct 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 212116 | TX | Primary |
Addresses
Primary practice location
13220 Breton Ridge Street
Houston, TX 77070
Mailing address
6637 Queensclub Dr
Houston, TX 77069-1238
Phone (832) 494-4764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212116 | Other | TX | CREDENTIAL |
Other names 1
- Ms. Rebeccah Nyawirah Irungu
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 |
|---|---|---|---|
| 212116 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1376053272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6637 QUEENSCLUB DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691238",
"telephone_number": "832-494-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13220 BRETON RIDGE STREET",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77070",
"telephone_number": "281-389-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "REBECCAH",
"middle_name": "I",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "212116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CREDENTIAL",
"identifier": "212116",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCAH",
"last_name": "IRUNGU",
"middle_name": "NYAWIRAH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.