Provider Demographics
NPI:1255798153
Name:CASE, REBECCA (OT, RN)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:CASE
Suffix:
Gender:
Credentials:OT, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 N 148TH ST APT 3405
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6775
Mailing Address - Country:US
Mailing Address - Phone:406-360-9670
Mailing Address - Fax:877-874-1031
Practice Address - Street 1:1815 N 45TH ST STE 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6856
Practice Address - Country:US
Practice Address - Phone:206-752-6837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO205642163W00000X
WAOT61543821225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No163W00000XNursing Service ProvidersRegistered Nurse