Rebecca O'Brien

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22403 Issued in OR

Practice address

369 NE Revere Ave
Bend, OR 97701-4082

Phone

(458) 206-0757

NPI assigned

Sep 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bekah O'Brien Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1871042945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 SE HEYBURN ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021312",
            "telephone_number": "541-508-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014082",
            "telephone_number": "458-206-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEKAH",
            "last_name": "O'BRIEN",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Holly Anderson Nyquist, RN
• R Dean Nyquist, D.M.D.
• O'Brien Counseling and Consulting
• Cassie Laurel O'Brien, PSY.D.
• Jay Patrick O'Brien, PA-C
• Terr2 John O'Callaghan, RPH
• Ryan Scott O'Clair, AUD
• Rachel O'Connor
• Scott Troy O'Connor, M.D.
• Cody O'Donnell

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.