Active NPI
Rebecca N King, OTR
- Occupational Therapist
- Springfield, MI
National Provider Identifier
1790928323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201002577
- Practice address
- 111 Evergreen Rd
Springfield, MI 49037 - Phone
- (269) 969-6110
- Fax
- (269) 969-6120
- NPI assigned
- Apr 13, 2009
- Last updated
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201002577 | MI | Primary |
Addresses
Primary practice location
111 Evergreen Rd
Springfield, MI 49037
Mailing address
11556 E D Ave
Richland, MI 49083
Phone (269) 629-5304
Other practice location 1
229 North Ave
Battle Creek, MI 49017-3430
Phone (269) 288-0257
Other names 1
- Rebecca N Bumgardner
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201002577 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Rehab PLLC | Occupational Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1790928323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11556 E D AVE",
"city": "RICHLAND",
"state": "MI",
"postal_code": "49083",
"telephone_number": "269-629-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EVERGREEN RD",
"city": "SPRINGFIELD",
"state": "MI",
"postal_code": "49037",
"telephone_number": "269-969-6110",
"fax_number": "269-969-6120"
}
],
"practiceLocations": [
{
"address_1": "229 North Ave",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490173430",
"country_code": "US",
"telephone_number": "269-288-0257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "REBECCA",
"middle_name": "N",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201002577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BUMGARDNER",
"middle_name": "N",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Springfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.