Rebecca Mize, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

002491 Issued in GA

Practice address

2015 Vaughn Rd NW
Suite 130
Kennesaw, GA 30144-7801

Phone

(770) 425-6661

Fax

(770) 425-1189

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Rebecca Govert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comprehensive Therapy Consultants,Inc

  • Speech-Language Pathologist
  • Kennesaw, GA
  • NPI 1932275146

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821158973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 VAUGHN RD NW",
            "address_2": "SUITE 130",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447801",
            "telephone_number": "770-425-6661",
            "fax_number": "770-425-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 VAUGHN RD NW",
            "address_2": "SUITE 130",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447801",
            "telephone_number": "770-425-6661",
            "fax_number": "770-425-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "002491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GOVERT",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Mistretta-Bradley, LPC
• Briana Leggett Mitchell, M.A.
• Joy Mitchell
• Melodie Jeanine Mitchell, D.C.
• Jackson Keith Mize, ATC
• MMKG Counseling Services LLC
• Ambareen Mohamed, O.D.
• Nadia Mohammed, PA
• Diana Molina Maltez
• David Molina, D.D.S

• Pediatric Occupational Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.