Active NPI
Rebecca Fisher
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1609371400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2017044641
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470052186 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017044641 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bricks and Bites LLC | Multi-Specialty | Current | 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.