Individual provider Active NPI

Rebeccah King, OTR

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1982065512
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0004102 Issued in CO
Practice address
5848 Walsh PT
Apt. 201
Colorado Springs, CO 80919-1989
Phone
(207) 514-4123
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0004102 CO Primary

Addresses

Primary practice location

5848 Walsh PT
Apt. 201
Colorado Springs, CO 80919-1989

Mailing address

5848 Walsh Point
Apt. 201
Colorado Springs, CO 80919
Phone (207) 514-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001783 NC Practitioner - Occupational Therapist in Private Practice 1850781576 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0004102COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solana Rehab LLC Occupational Therapist CurrentSince Mar 1, 2022 Accepting new patients
Horizon Internal Medicine PLLC CurrentSince Jan 18, 2022 Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

Organizations & group practices 4

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1982065512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 WALSH POINT",
            "address_2": "APT. 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80919",
            "telephone_number": "207-514-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 WALSH PT",
            "address_2": "APT. 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191989",
            "telephone_number": "207-514-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "REBECCAH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.