Rebekah Grace Eide, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

803 Part St
Lake Norden, SD 57248

Phone

(605) 785-3654

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1932870862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 3RD AVE S APT 9",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572262050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 PART ST",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "57248",
            "telephone_number": "605-785-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDE",
        "first_name": "REBEKAH",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judi L Anderson, CNP
• Jerad Robert Bludorn, DC
• Natalie Anita Garza, LMT
• Homestead Assisted Living. LLC (The Homestead Assisted Living)
• Homestead Day Services, LLC
• Jolene Johnson
• Lake Norden Ambulance District

• Occupational Therapy Assistant in Lake Norden, SD
• Providers in Lake Norden, SD by specialty
• Occupational Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.