Rebecca J Hornberger, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31003297A Issued in IN

Practice address

23404 Lake Tambo Rd
Sunman, IN 47041-7558

Phone

(812) 623-1139

Fax

(812) 623-1139

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407076367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23404 LAKE TAMBO RD",
            "city": "SUNMAN",
            "state": "IN",
            "postal_code": "470417558",
            "telephone_number": "812-623-1139",
            "fax_number": "812-623-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23404 LAKE TAMBO RD",
            "city": "SUNMAN",
            "state": "IN",
            "postal_code": "470417558",
            "telephone_number": "812-623-1139",
            "fax_number": "812-623-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBERGER",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003297A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sunman, IN
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.