Individual provider Active NPI

Breanna Alysse Rebe, OTD, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1548945199
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014690 Issued in MI
Practice address
2193 Eastcastle Dr SE Unit 103
Grand Rapids, MI 49508-7751
Phone
(480) 332-4946
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 5201014690 MI Primary

Addresses

Primary practice location

2193 Eastcastle Dr SE Unit 103
Grand Rapids, MI 49508-7751

Mailing address

2193 Eastcastle Dr SE Unit 103
Grand Rapids, MI 49508-7751

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

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1548945199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 EASTCASTLE DR SE UNIT 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 EASTCASTLE DR SE UNIT 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087751",
            "telephone_number": "480-332-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBE",
        "first_name": "BREANNA",
        "middle_name": "ALYSSE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.