Active NPI
Rebecca Prueter
- Recreation Therapist
- Farmington Hills, MI
National Provider Identifier
1487078895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 63437
- Practice address
- 38982 Plumbrook Dr
Farmington Hills, MI 48331-2973 - Phone
- (248) 504-1416
- NPI assigned
- Feb 6, 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 63437 | NY | Primary |
Addresses
Primary practice location
38982 Plumbrook Dr
Farmington Hills, MI 48331-2973
Mailing address
38982 Plumbrook Dr
Farmington Hills, MI 48331-2973
Phone (248) 504-1416
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 |
|---|---|---|---|
| 63437 | NY | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1487078895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38982 PLUMBROOK DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312973",
"telephone_number": "248-504-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38982 PLUMBROOK DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312973",
"telephone_number": "248-504-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETER",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "63437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.