Provider Demographics
NPI:1487859369
Name:REBECCA A. NORTON, OTR, PC
Entity Type:Organization
Organization Name:REBECCA A. NORTON, OTR, PC
Other - Org Name:HANDWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:406-862-8175
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT495225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0562054Medicaid
MT0349367Medicaid
MT0349367Medicaid
MTDA1209Medicare ID - Type UnspecifiedMEDICARE RAILROAD GROUP