Individual provider Active NPI

Rebecca J. Basilio, D.C.

  • Chiropractor
  • St. Petersburg, FL
National Provider Identifier
1083987077
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10536 Issued in FL
Practice address
2201 62ND Avenue North
St. Petersburg, FL 33702
Phone
(727) 528-8700
Fax
(727) 528-8585
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10536 FL Primary

Addresses

Primary practice location

2201 62ND Avenue North
St. Petersburg, FL 33702

Mailing address

2201 62ND Avenue North
St. Petersburg, FL 33702
Phone (727) 528-8700

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

Practice roles

OrganizationSpecialtyStatusNew patients
G Stanford Pierce DC PA Chiropractor PastSince Apr 21, 2014 Accepting new patients

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1083987077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 62ND AVENUE NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-528-8700",
            "fax_number": "727-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 62ND AVENUE NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-528-8700",
            "fax_number": "727-528-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILIO",
        "first_name": "REBECCA",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.