REBECCA TUBERGEN (NPI# 1386677342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386677342 |
| Entity Type | Individual |
| Full Name | REBECCA TUBERGEN |
| Credential | O.T. |
| Practice Address |
201 Pennsylvania Pkwy Ste 100 Indianapolis IN 46280-1393 |
| Practice Telephone | 3178171200 |
| Practice Fax Number | 3178171220 |
| Mailing Telephone | 3178171200 |
| Mailing Fax Number | 3178171220 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31002140 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200396460 | 05 |
| Street Address |
201 PENNSYLVANIA PKWY STE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960186 | Joel C Boaz | Neurological Surgery | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46260-1393 | 2005-05-27 |
| 1699127134 | Kenna Brown | Occupational Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-07-08 |
| 1487012670 | Mitzi Marie Stephens | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-02-03 |
| 1467825315 | Melissa Schnepp | Specialist/Technologist | 201 Pennsylvania Pkwy, Indianapolis, IN 46280-2301 | 2015-11-01 |
| 1043601263 | Robert Klingshirn | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2015-02-10 |
| 1740678838 | Jeremy Herrmann | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2014-12-26 |
| 1417359845 | April L Priest | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2014-09-17 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| 1194138677 | Emilia M Kareem | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280 | 2014-06-03 |
| 1356768402 | Sara Simmons | Specialist/Technologist | 201 Pennsylvania Pkwy, #100, Indianapolis, IN 46280-2301 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
| 1295154110 | Sydney Harman | Anesthesiology | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2014-04-08 |
| Find all providers in zip 46280 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875701 | Megan Copeland | Occupational Therapist | 8622 Central Ave, Indianapolis, IN 46240-1507 | 2020-09-14 |
| 1083227169 | Aegis Group Practice LLC | Occupational Therapist | 3060 Valley Farms Rd, Indianapolis, IN 46214-4501 | 2020-08-28 |
| 1619585346 | Emily Woods | Occupational Therapist | 8650 Commerce Park Pl # A-1, Indianapolis, IN 46268-3174 | 2020-07-20 |
| 1033734942 | Colleen L Colvin | Occupational Therapist | 9105 E 56th St Ste 1, Indianapolis, IN 46216-2229 | 2020-06-16 |
| 1376177535 | Jill M Cain | Occupational Therapist | 4642 Crosby Buck Dr, Indianapolis, IN 46237-8758 | 2020-02-26 |
| 1891345096 | Micah Brown | Occupational Therapist | 4134 Claire Dr Apt 104, Indianapolis, IN 46240-1595 | 2019-09-19 |
| 1144887399 | Catherine Martin Taylor | Occupational Therapist | 5842 N Dearborn St, Indianapolis, IN 46220-5408 | 2019-05-23 |
| 1659936201 | Accelerated Rehabilitation Centers Ltd | Occupational Therapist | 2902 W 86th St Ste 60, Indianapolis, IN 46268-4188 | 2019-05-08 |
| 1316429764 | Rachel Rutledge | Occupational Therapist | 10335 Corydon Ct, Indianapolis, IN 46239 | 2018-09-02 |
| 1598244162 | Brigitte Umlauf | Occupational Therapist | 1822 Brewster Rd, Indianapolis, IN 46260-1561 | 2018-08-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46280 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.