Active NPI
Rebekah Nicole Lee, MOT, OTR/L
- Occupational Therapist
- Puyallup, WA
National Provider Identifier
1942709142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-03321
- Practice address
- 2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782 - Phone
- (253) 447-8216
- NPI assigned
- Feb 3, 2018
- 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 Therapist | 225X00000X | 17-03321 | KS | Primary |
Addresses
Primary practice location
2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782
Mailing address
9133 126TH Street CT E
Puyallup, WA 98373-3450
Phone (918) 453-3597
Other names 1
- Rebekah Nicole Smith
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-03321 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids at Play Therapy, LLC | 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.
-
- Specialist
- Sumner, WA
- NPI 1770819385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1942709142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9133 126TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733450",
"telephone_number": "918-453-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 5TH AVE NE STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983726782",
"telephone_number": "253-447-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "REBEKAH",
"middle_name": "NICOLE",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-03",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-03321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "SMITH",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.