Active NPI
Rebecca Johnston, OTD, OTR/L
- Occupational Therapist
- Temecula, CA
National Provider Identifier
1538838024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 41769 Enterprise Cir N Ste 104
Temecula, CA 92590-5626 - Phone
- (951) 303-8255
- Fax
- (951) 719-3429
- NPI assigned
- Sep 8, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | CA | Primary |
Addresses
Primary practice location
41769 Enterprise Cir N Ste 104
Temecula, CA 92590-5626
Mailing address
41769 Enterprise Cir N Ste 104
Temecula, CA 92590-5626
Phone (951) 303-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515001985 | CA | Practitioner - Occupational Therapist in Private Practice | 3274051073 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21362 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1538838024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41769 ENTERPRISE CIR N STE 104",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905626",
"telephone_number": "951-303-8255",
"fax_number": "951-719-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41769 ENTERPRISE CIR N STE 104",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905626",
"telephone_number": "951-303-8255",
"fax_number": "951-719-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "REBECCA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.