Individual provider Active NPI

Rebecca Bernadette Schmidt, COTA/L

  • Occupational Therapy Assistant
  • Pottsville, PA
National Provider Identifier
1740918168
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP010152 Issued in PA
Practice address
150 Chamberlaine Ave
Pottsville, PA 17901-8648
Phone
(570) 593-5484
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP010152 PA Primary

Addresses

Primary practice location

150 Chamberlaine Ave
Pottsville, PA 17901-8648

Mailing address

396 W Center St
Elysburg, PA 17824-7111
Phone (570) 692-1070

Other names 1

  • Rebecca Bernadette Trautz 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
OP010152PAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Interventions, Inc CurrentSince Aug 14, 2022 Accepting new patients
Gym-Jam Therapeutics, Inc. CurrentSince Feb 19, 2023 Accepting new patients

Locations

150 Chamberlaine Ave
Pottsville, PA 17901
Phone (570) 593-5484

Organizations & group practices 2

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1740918168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 W CENTER ST",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "178247111",
            "telephone_number": "570-692-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHAMBERLAINE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018648",
            "telephone_number": "570-593-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "REBECCA",
        "middle_name": "BERNADETTE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP010152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TRAUTZ",
            "middle_name": "BERNADETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.