Provider Demographics
NPI:1396853271
Name:NORTON, REBECCA ANNE (OTR, CHT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANNE
Last Name:NORTON
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 762
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-0762
Mailing Address - Country:US
Mailing Address - Phone:406-862-8175
Mailing Address - Fax:406-862-8176
Practice Address - Street 1:419 SPOKANE AVE APT 1
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2729
Practice Address - Country:US
Practice Address - Phone:406-862-8175
Practice Address - Fax:406-862-8176
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT495225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0562054Medicaid
MTP00016649Medicare ID - Type UnspecifiedMEDICARE RAILROAD
MT0562054Medicaid
MT5052300001Medicare NSC