Individual provider Active NPI

Rebecca Joan Huppert, OTRL

  • Pediatric Occupational Therapist
  • Gilbert, AZ
National Provider Identifier
1912110370
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0529 Issued in AZ
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0529AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huppert Pediatric Therapy, Inc. PastSince Aug 9, 2020 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.

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.

Verify at the official NPI Registry.