Individual provider Active NPI

Stephanie C Rehe, MPT, DPT, ATC

  • Physical Therapist
  • Palm Desert, CA
National Provider Identifier
1073610036
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25627 Issued in CA
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

Updated by the provider on Jan 4, 2008

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 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

IdentifierTypeStateIssuer
0PT256270OtherCABLUE 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

LicenseStateTypeSpecialty
25627CAMDDentist
PT25627CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.