Individual provider Active NPI

Rebecca Dwornick

  • Behavior Technician
  • Brighton, MI
National Provider Identifier
1992431274
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.