Individual provider Active NPI

Andrea Jayne Rapson, O.T.

  • Pediatric Occupational Therapist
  • Wasilla, AK
National Provider Identifier
1629228598
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2195 Issued in AK
Practice address
619 S. KGB
Suite G,H
Wasilla, AK 99654
Phone
(907) 982-3897
Fax
(866) 283-2986
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2195 AK Primary

Addresses

Primary practice location

619 S. KGB
Suite G,H
Wasilla, AK 99654

Mailing address

PO Box 876104
Wasilla, AK 99687-6104
Phone (907) 982-3897

Other identifiers 1

IdentifierTypeStateIssuer
OT0031MedicaidAK

Other names 1

  • Andrea Jayne Leutzinger Former name

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
2195AKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Backcountry Therapeutics LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1629228598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876104",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876104",
            "telephone_number": "907-982-3897",
            "fax_number": "866-283-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S. KGB",
            "address_2": "SUITE G,H",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-982-3897",
            "fax_number": "866-283-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPSON",
        "first_name": "ANDREA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "2195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT0031",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LEUTZINGER",
            "middle_name": "JAYNE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.