Active NPI
Rebeka M Phillips, L.M.T.
- Massage Therapist
- Poteau, OK
National Provider Identifier
1861789703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7035
- Practice address
- 105 Wall St
1St Floor - Carol Weddle'S Office
Poteau, OK 74953-4433 - Phone
- (479) 883-3198
- NPI assigned
- Jun 29, 2011
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7035 | AR | Primary |
Addresses
Primary practice location
105 Wall St
1St Floor - Carol Weddle'S Office
Poteau, OK 74953-4433
Mailing address
1104 S Walton Blvd Ste 101
Bentonville, AR 72712-6120
Phone (479) 883-3198
Other names 1
- Rebeka M Hunter
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 |
|---|---|---|---|
| 7035 | AR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1861789703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 S WALTON BLVD STE 101",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727126120",
"telephone_number": "479-883-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WALL ST",
"address_2": "1ST FLOOR - CAROL WEDDLE'S OFFICE",
"city": "POTEAU",
"state": "OK",
"postal_code": "749534433",
"telephone_number": "479-883-3198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "REBEKA",
"middle_name": "M",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "7035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKA",
"last_name": "HUNTER",
"middle_name": "M",
"credential": "L.M.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.