Rebecca Christine Thiele, COTA
Individual provider Active NPI Occupational Therapy Assistant · De Soto, KS
NPI 1578825261 · NPPES record last updated Jun 9, 2012
Key facts
- NPI
- 1578825261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- T-03296 (KS)
- Practice address
- 33600 W 85TH St
De Soto, KS 66018-8118 - Phone
- (913) 853-1225
- NPI assigned
- Jun 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-03296 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | T-03296 | KS | Yes |
Addresses
Primary practice location
33600 W 85TH St
De Soto, KS 66018-8118
Mailing address
1624 N Sunset Dr
Olathe, KS 66061-7102
Phone (913) 526-7470
Other providers in De Soto, KS
- Rose R and D
- Reilly Schultz
- Susan Sculley
- Mia Talley
- Travis Lane Thibault
- Carla Valenzuela
- Kristina T Woods
All providers in De Soto, KS · Occupational Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.