Active NPI
Rebecca Jean Stanislaw, COTA
- Occupational Therapy Assistant
- Tucson, AZ
National Provider Identifier
1871701136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2135
- Practice address
- 1313 W Magee Rd
Tucson, AZ 85704-3326 - Phone
- (520) 797-2600
- Fax
- (520) 797-3100
- NPI assigned
- May 19, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2135 | AZ | Primary |
Addresses
Primary practice location
1313 W Magee Rd
Tucson, AZ 85704-3326
Mailing address
PO Box 89176
Tucson, AZ 85752-9176
Phone (520) 219-9008
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 |
|---|---|---|---|
| 2135 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871701136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 89176",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857529176",
"telephone_number": "520-219-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W MAGEE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043326",
"telephone_number": "520-797-2600",
"fax_number": "520-797-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANISLAW",
"first_name": "REBECCA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "2135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.