Individual provider Active NPI

Rebecca Ann Allen, PT, DPT.

  • Physical Therapist
  • Canton, OH
National Provider Identifier
1013537901
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010919 Issued in OH
Practice address
4647 Yale Ave NW
Canton, OH 44709-1463
Phone
(330) 265-5305
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010919 OH Primary

Addresses

Primary practice location

4647 Yale Ave NW
Canton, OH 44709-1463

Mailing address

4647 Yale Ave NW
Canton, OH 44709-1463
Phone (330) 265-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010919OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bekidspt LLC Physical Therapist CurrentSince Apr 26, 2020 Accepting new patients

Locations

4695 Whipple Ave NW
Canton, OH 44718
Phone (234) 271-5066

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1013537901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 YALE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091463",
            "telephone_number": "330-265-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 YALE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091463",
            "telephone_number": "330-265-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PT, DPT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "010919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.