Active NPI
Rebecca Jo Anderson, M.S.
- Occupational Therapist
- Rexburg, ID
National Provider Identifier
1861653909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTLP-256
- Practice address
- 393 E 2ND N
Rexburg, ID 83440-1605 - Phone
- (208) 360-8005
- Fax
- (208) 359-9580
- NPI assigned
- Jun 20, 2008
- Last updated
- Apr 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | OTLP-256 | ID | Primary |
Addresses
Primary practice location
393 E 2ND N
Rexburg, ID 83440-1605
Mailing address
PO Box 711
Rexburg, ID 83440-0711
Phone (208) 359-9570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTLP-256 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHD Therapies, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
700 N 2nd St
Ashton, ID 83420
Phone (208) 356-9456
36 Professional Plz
Ste 110
Rexburg, ID 83440
Phone (208) 359-9570
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.
-
dba Rehab Specialists of Idaho
- Physical Therapist
- Rexburg, ID
- NPI 1316484983
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1861653909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "REXBURG",
"state": "ID",
"postal_code": "834400711",
"telephone_number": "208-359-9570",
"fax_number": "208-359-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 E 2ND N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401605",
"telephone_number": "208-360-8005",
"fax_number": "208-359-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "REBECCA",
"middle_name": "JO",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OTLP-256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.