Individual provider Active NPI

Rachael Becker, OTD, OTR/L

  • Gerontology Occupational Therapist
  • Papillion, NE
National Provider Identifier
1629348453
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
OT18526 Issued in FL
Practice address
10791 S 72ND St
Pediatric Therapy Center
Papillion, NE 68046-3402
Phone
(402) 932-2782
Fax
(402) 932-2705
NPI assigned
Jan 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X OT18526 FL Primary

Addresses

Primary practice location

10791 S 72ND St
Pediatric Therapy Center
Papillion, NE 68046-3402

Mailing address

10791 S 72ND St
Pediatric Therapy Center
Papillion, NE 68046-3402
Phone (402) 932-2782

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
OT18526FLMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Center Pediatrics 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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1629348453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10791 S 72ND ST",
            "address_2": "PEDIATRIC THERAPY CENTER",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463402",
            "telephone_number": "402-932-2782",
            "fax_number": "402-932-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10791 S 72ND ST",
            "address_2": "PEDIATRIC THERAPY CENTER",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463402",
            "telephone_number": "402-932-2782",
            "fax_number": "402-932-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "RACHAEL",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT18526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.