Active NPI
Rebecca Joy Lynn, CTRS
- Recreation Therapist
- Chesterfield, MI
National Provider Identifier
1407468424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 83323
- Practice address
- 51145 Nicolette Dr
Chesterfield, MI 48047-4585 - Phone
- (586) 228-9991
- NPI assigned
- Aug 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Recreation Therapist | 225800000X | 83323 | MI | Primary |
Addresses
Primary practice location
51145 Nicolette Dr
Chesterfield, MI 48047-4585
Mailing address
1669 W Maple Rd
Birmingham, MI 48009-1230
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 |
|---|---|---|---|
| 83323 | MI | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1407468424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1669 W MAPLE RD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51145 NICOLETTE DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474585",
"telephone_number": "586-228-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "REBECCA",
"middle_name": "JOY",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "83323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.