Individual provider Active NPI

Rebecca P Sheffield, OTR/L

  • Occupational Therapist
  • Tupelo, MS
National Provider Identifier
1790392967
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3828 Issued in MS
Practice address
960 Commonwealth Blvd
Tupelo, MS 38804-3880
Phone
(662) 260-3789
Fax
(662) 260-3790
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3828 MS Primary

Addresses

Primary practice location

960 Commonwealth Blvd
Tupelo, MS 38804-3880

Mailing address

1200 Corporate Dr
Suite 400
Birmingham, AL 35242
Phone (423) 206-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029000144 MS Practitioner - Occupational Therapist in Private Practice 4486064680 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3828MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC CurrentSince Sep 24, 2020 Accepting new patients
Dpti Elite Physical Therapy LLC Occupational Therapist CurrentSince Sep 24, 2020 Accepting new patients
Drayer Physical Therapy Mississippi LLC Occupational Therapist CurrentSince Sep 24, 2020 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

Organizations & group practices 4

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1790392967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "SUITE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "423-206-4158",
            "fax_number": "717-773-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 COMMONWEALTH BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043880",
            "telephone_number": "662-260-3789",
            "fax_number": "662-260-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "REBECCA",
        "middle_name": "P",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.