Active NPI
Rebecca Dwornick
- Behavior Technician
- Brighton, MI
National Provider Identifier
1992431274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Ivy Rehab for Kids
8542 West Grand River
Brighton, MI 48116 - Phone
- (173) 444-9464
- NPI assigned
- Jul 28, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
Ivy Rehab for Kids
8542 West Grand River
Brighton, MI 48116
Mailing address
Ivy Rehab for Kids
8542 West Grand River
Brighton, MI 48116
Phone (173) 444-9464
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rebecca.Dwornick@ivyrehab.com | ||
| Direct Messaging Address | Rebecca.Dwornick@ivyrehab.com |
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
Interoperability endpoints
- rebecca.dwornick@ivyrehab.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1992431274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "IVY REHAB FOR KIDS",
"address_2": "8542 WEST GRAND RIVER",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "48116",
"telephone_number": "173-444-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IVY REHAB FOR KIDS",
"address_2": "8542 WEST GRAND RIVER",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "48116",
"telephone_number": "173-444-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWORNICK",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rebecca.Dwornick@ivyrehab.com",
"affiliation": "N",
"endpointDescription": "Rebecca.Dwornick@ivyrehab.com",
"address_1": "Ivy Rehab for Kids",
"address_2": "8542 West Grand River",
"city": "Brighton",
"state": "MI",
"country_code": "US",
"postal_code": "48116",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rebecca.Dwornick@ivyrehab.com",
"affiliation": "N",
"endpointDescription": "Rebecca.Dwornick@ivyrehab.com",
"address_1": "Ivy Rehab for Kids",
"address_2": "8542 West Grand River",
"city": "Brighton",
"state": "MI",
"country_code": "US",
"postal_code": "48116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.