Healthcare Provider Details

I. General information

NPI: 1609303106
Provider Name (Legal Business Name): REBECCA JO LYNN ALMEIDA OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA JO LYNN JOHNSON OTD, OTR/L

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 COMANCHE RD
FORT MEADE SD
57741-1002
US

IV. Provider business mailing address

3029 WILLOWBEND RD
RAPID CITY SD
57703-6930
US

V. Phone/Fax

Practice location:
  • Phone: 605-347-2511
  • Fax:
Mailing address:
  • Phone: 605-391-2924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1043
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1043
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: