Krista Rebuck, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023076 Issued in PA

Practice address

417 Grow Ave
Montrose, PA 18801-1105

Phone

(570) 278-1101

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Krista Rubini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1083044978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 FERNHEIM RD",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188018229",
            "telephone_number": "215-860-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GROW AVE",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011105",
            "telephone_number": "570-278-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4056 Quakerbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086484779",
            "country_code": "US",
            "telephone_number": "609-588-8600",
            "fax_number": "609-588-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBUCK",
        "first_name": "KRISTA",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01524400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "RUBINI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beth Parrish, SLP
• Thomas Anthony Pascoe, D.M.D
• Kerri Ann Portanova, PA-C
• Price Chopper Operating Co of PA Inc
• Progressive Dental of Montrose, LLC
• David John Rechlicz, D.M.D.
• Tiffany Repsher, LMT
• Emily Mae Reynolds, DPT
• Dava Rinehart-Cowan, OTR/L
• Christopher Alan Robinson, RPH

• All providers in Montrose, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.