Individual provider Active NPI

Rebecca Ann Vasta, OTR/L

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1457026064
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61546148 Issued in WA
Practice address
2205 N 45TH St
Seattle, WA 98103-6903
Phone
(206) 604-4707
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61546148 WA Primary

Addresses

Primary practice location

2205 N 45TH St
Seattle, WA 98103-6903

Mailing address

13117 3Rd Ave SE Unit K4
Everett, WA 98208-6671
Phone (214) 385-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004001116 WA Practitioner - Occupational Therapist in Private Practice 0840721585 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61546148WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Current Accepting new patients
Integrated Rehabilitation Group, PC Occupational Therapist CurrentSince Dec 16, 2024 Accepting new patients
Wellness Occupational Therapy LLC Occupational Therapist CurrentSince Jul 27, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Occupational Therapist CurrentSince Dec 16, 2024 Accepting new patients

Locations

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

3732 Colby Ave
Everett, WA 98201
Phone (425) 374-2846

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

2205 N 45th St
Seattle, WA 98103
Phone (206) 547-2500

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1457026064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13117 3RD AVE SE UNIT K4",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086671",
            "telephone_number": "214-385-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036903",
            "telephone_number": "206-604-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASTA",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61546148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.