Rebecca Ellen Hankla, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.000686 Issued in CO

Practice address

4601 Eagleridge PL
Unit 140
Pueblo, CO 81008-4100

Phone

(719) 253-7727

Fax

(719) 253-7729

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pueblo Pediatric Therapy Center, LLC

  • Pediatric Occupational Therapist
  • Pueblo, CO
  • NPI 1831338516
  NPD (past)

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1518334804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EAGLERIDGE PL",
            "address_2": "UNIT 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810084100",
            "telephone_number": "719-253-7727",
            "fax_number": "719-253-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EAGLERIDGE PL",
            "address_2": "UNIT 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810084100",
            "telephone_number": "719-253-7727",
            "fax_number": "719-253-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKLA",
        "first_name": "REBECCA",
        "middle_name": "ELLEN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.000686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29750521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hands on Therapy Services, L.L.C.
• Hands Plus Rehabilitation
• Vanessa Hanes, RN
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Jenny Lynn Hanks, OTR
• Shelly Hannula, RN
• Robert Trent Hansen
• Michael W Hanson, MD
• Tamatha Harbert

• Occupational Therapy Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.