Individual provider Active NPI

Rebecca Fisher

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1609371400
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2017044641 Issued in MO
Practice address
6929 Wise Ave
Saint Louis, MO 63139-3731
Phone
(314) 297-8008
Fax
(314) 530-0315
NPI assigned
Mar 26, 2018
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2017044641 MO Primary
Pediatric Occupational Therapist 225XP0200X 2017044641 MO
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 2017044641 MO

Addresses

Primary practice location

6929 Wise Ave
Saint Louis, MO 63139-3731

Mailing address

6929 Wise Ave
Saint Louis, MO 63139-3731
Phone (314) 297-8008

Other identifiers 1

IdentifierTypeStateIssuer
470052186MedicaidMO

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

LicenseStateTypeSpecialty
2017044641MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bricks and Bites LLC Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1609371400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 WISE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393731",
            "telephone_number": "314-297-8008",
            "fax_number": "314-530-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 WISE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393731",
            "telephone_number": "314-297-8008",
            "fax_number": "314-530-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2017044641",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2017044641",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "MO",
            "license": "2017044641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470052186",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.