Active NPI
Rebecca Joan Huppert, OTRL
- Pediatric Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1912110370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0529
- Practice address
- 7305 S. Roanoke Street
Gilbert, AZ 85298-8774 - Phone
- (480) 821-7779
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0529 | AZ | Primary |
Addresses
Primary practice location
7305 S. Roanoke Street
Gilbert, AZ 85298-8774
Mailing address
4960 S Gilbert Rd Ste 1-609
Chandler, AZ 85249-6021
Phone (480) 821-7779
Other practice location 1
3001 E Fandango Dr
Gilbert, AZ 85298-8774
Phone (480) 821-7779
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 |
|---|---|---|---|
| 0529 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huppert Pediatric Therapy, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Chandler, AZ
- NPI 1104818558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912110370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 S GILBERT RD STE 1-609",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852496021",
"telephone_number": "480-821-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 S. ROANOKE STREET",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852988774",
"telephone_number": "480-821-7779"
}
],
"practiceLocations": [
{
"address_1": "3001 E Fandango Dr",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852988774",
"country_code": "US",
"telephone_number": "480-821-7779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUPPERT",
"first_name": "REBECCA",
"middle_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "0529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.