Healthcare Provider Details

I. General information

NPI: 1255798153
Provider Name (Legal Business Name): REBECCA CASE OT, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2016
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 N 45TH ST STE 202
SEATTLE WA
98103-6856
US

IV. Provider business mailing address

2321 N 148TH ST APT 3405
SHORELINE WA
98133-6775
US

V. Phone/Fax

Practice location:
  • Phone: 206-752-6837
  • Fax:
Mailing address:
  • Phone: 406-360-9670
  • Fax: 877-874-1031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number205642
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT61543821
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: