Individual provider Active NPI

Rebecca Summers, OTR

  • Occupational Therapist
  • Little Elm, TX
National Provider Identifier
1992022917
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
111147 Issued in TX
Practice address
309 W Eldorado Pkwy Ste 108
Little Elm, TX 75068-5382
Phone
(214) 422-8265
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 111147 TX Primary

Addresses

Primary practice location

309 W Eldorado Pkwy Ste 108
Little Elm, TX 75068-5382

Mailing address

309 W Eldorado Pkwy Ste 108
Little Elm, TX 75068-5382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201000138 TX Practitioner - Occupational Therapist in Private Practice 9931409703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 W Eldorado Pkwy
Little Elm, TX 75068-5382
Phone (214) 422-8265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111147TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphedema Therapy Source Occupational Therapist CurrentSince Sep 21, 2011 Accepting new patients
Lymphedema Therapy Source Occupational Therapist CurrentSince Jan 31, 2019 Accepting new patients

Locations

2410 Luna Rd
Ste 248
Carrollton, TX 75006
Phone (214) 422-8265

309 W Eldorado Pkwy
Ste 108
Little Elm, TX 75068
Phone (214) 422-8265

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1992022917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W ELDORADO PKWY STE 108",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W ELDORADO PKWY STE 108",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685382",
            "telephone_number": "214-422-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "REBECCA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.