Active NPI
Rebecca Mae Labo, CTRS
- Recreation Therapist
- Ypsilanti, MI
National Provider Identifier
1821521113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 69006
- Practice address
- 7794 Paint Creek Dr
Ypsilanti, MI 48197-6139 - Phone
- (734) 352-3543
- Fax
- (734) 547-5462
- NPI assigned
- Apr 4, 2017
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 69006 | MI | Primary |
Addresses
Primary practice location
7794 Paint Creek Dr
Ypsilanti, MI 48197-6139
Mailing address
25180 Myler St
Taylor, MI 48180-2029
Phone (313) 244-9906
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69006 | MI | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1821521113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25180 MYLER ST",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481802029",
"telephone_number": "313-244-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7794 PAINT CREEK DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481976139",
"telephone_number": "734-352-3543",
"fax_number": "734-547-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABO",
"first_name": "REBECCA",
"middle_name": "MAE",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "69006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.