Active NPI
Rebecca'S Kid Therapy, P.a.
- Home Health Agency
- Raleigh, NC
National Provider Identifier
1013179134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3077
- Legal business name
- REBECCA'S KID THERAPY, P.A.
- Practice address
- 416 Elm St
Raleigh, NC 27604-1932 - Phone
- (919) 740-8253
- NPI assigned
- Jun 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Walls
- Title
- President
- Phone
- (919) 740-8253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3077 | NC | Primary |
Addresses
Primary practice location
416 Elm St
Raleigh, NC 27604-1932
Mailing address
416 Elm St
Raleigh, NC 27604-1932
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1013179134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 ELM ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 ELM ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041932",
"telephone_number": "919-740-8253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA'S KID THERAPY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "WALLS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-740-8253"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "3077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.