Active NPI
Rebecca Van Leuven
- Occupational Therapist
- Broken Arrow, OK
National Provider Identifier
1396152526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1921
- Practice address
- 2221 W Detroit St
Broken Arrow, OK 74012-3628 - Phone
- (651) 337-9946
- NPI assigned
- Jul 21, 2014
- 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 | 1921 | OK | Primary |
Addresses
Primary practice location
2221 W Detroit St
Broken Arrow, OK 74012-3628
Mailing address
1800 W Granger St
#1811
Broken Arrow, OK 74012-0776
Phone (651) 337-9946
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1921 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1396152526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W GRANGER ST",
"address_2": "#1811",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740120776",
"telephone_number": "651-337-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 W DETROIT ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740123628",
"telephone_number": "651-337-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN LEUVEN",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.