Active NPI
Stephanie C Rehe, MPT, DPT, ATC
- Physical Therapist
- Palm Desert, CA
National Provider Identifier
1073610036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25627
- Practice address
- 161 Old Ranch Rd
Palm Desert, CA 92211-3211 - Phone
- (760) 341-3846
- Fax
- (760) 341-3924
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25627 | CA | Primary |
Addresses
Primary practice location
161 Old Ranch Rd
Palm Desert, CA 92211-3211
Mailing address
161 Old Ranch Rd
Palm Desert, CA 92211-3211
Phone (760) 341-3846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT256270 | Other | CA | BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25627 | CA | MD | Dentist |
| PT25627 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Desert Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Complete Care Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Palm Desert, CA
- NPI 1164581997
-
- Physical Therapist
- Ooltewah, TN
- NPI 1669554325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1073610036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 OLD RANCH RD",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922113211",
"telephone_number": "760-341-3846",
"fax_number": "760-341-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 OLD RANCH RD",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922113211",
"telephone_number": "760-341-3846",
"fax_number": "760-341-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHE",
"first_name": "STEPHANIE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "MPT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT25627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0PT256270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.