Individual provider Active NPI

Rebecca Jean Baptiste

  • Occupational Therapy Assistant
  • Roxboro, NC
National Provider Identifier
1770090920
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
12697 Issued in NC
Practice address
901 Ridge Rd
Roxboro, NC 27573-4511
Phone
(336) 599-0106
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 12697 NC Primary
Occupational Therapy Assistant 224Z00000X OTA13451 FL

Addresses

Primary practice location

901 Ridge Rd
Roxboro, NC 27573-4511

Mailing address

6725 Via Regina
Boca Raton, FL 33433-3957
Phone (954) 928-6747

Other practice location 1

4012 Artesa Dr
Boynton Beach, FL 33436-2628
Phone (954) 461-6251

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
OTA13451FLMDOccupational Therapy Assistant
12697NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1770090920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 VIA REGINA",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333957",
            "telephone_number": "954-928-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734511",
            "telephone_number": "336-599-0106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4012 Artesa Dr",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334362628",
            "country_code": "US",
            "telephone_number": "954-461-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN BAPTISTE",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "12697",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.