Rebecca Jo Anderson, M.S.
Individual provider Active NPI Occupational Therapist · Rexburg, ID
NPI 1861653909 · NPPES record last updated Apr 5, 2019
Key facts
- NPI
- 1861653909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTLP-256 (ID)
- Practice address
- 393 E 2ND N
Rexburg, ID 83440-1605 - Phone
- (208) 360-8005
- Fax
- (208) 359-9580
- NPI assigned
- Jun 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090406000159 | ID | Practitioner - Occupational Therapist in Private Practice | 7113074352 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTLP-256 | ID | Yes |
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
Other providers in Rexburg, ID
- Emma Anderson
- Jeffrey C Anderson
- Jeffrey D. Anderson
- Julie Marie Anderson
- Michael Anderson
- Rylie Anderson
- Terry J. Anderson
- Dirk Andreasen
- Eric Andreasen
- Shawn Andreasen
All providers in Rexburg, ID · Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.