Individual provider Active NPI

Rebecca Lynn Soliwoda, OTD, OTR/L

  • Occupational Therapist
  • Easton, MD
National Provider Identifier
1962184564
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC018852 Issued in PA
Practice address
12 Magnolia St
Easton, MD 21601-3657
Phone
(410) 822-0330
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT23649 FL
Occupational Therapist 225X00000X 24684 CA
Occupational Therapist 225X00000X 10045 MD
Occupational Therapist 225X00000X OC018852 PA Primary

Addresses

Primary practice location

12 Magnolia St
Easton, MD 21601-3657

Mailing address

2733 W 34TH St
Erie, PA 16506-3379
Phone (814) 881-3361

Other practice location 1

661 W Poplar Ave
Porterville, CA 93257-5926
Phone (559) 784-8371

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
10045MDMDClinical Social Worker
24684CAMDOccupational Therapist
OT23649FLMDOccupational Therapist
OC018852PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talbot County Public Schools PastSince Aug 6, 2023 Accepting new patients
Talbot County Public Schools Infant & Toddler Program PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1962184564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 W 34TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063379",
            "telephone_number": "814-881-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013657",
            "telephone_number": "410-822-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932575926",
            "country_code": "US",
            "telephone_number": "559-784-8371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIWODA",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23649",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24684",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10045",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.