Individual provider Active NPI

Rebecca L Bucala, PT

  • Physical Therapist
  • Greenfield, MA
National Provider Identifier
1093004137
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17828 Issued in MA
Practice address
329 Conway St
Greenfield Health Center
Greenfield, MA 01301-1521
Phone
(413) 774-6301
Fax
(413) 772-6390
NPI assigned
Mar 29, 2011
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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 17828 MA Primary

Addresses

Primary practice location

329 Conway St
Greenfield Health Center
Greenfield, MA 01301-1521

Mailing address

PO Box 5700
Valley Medica Group, P.C.
Belfast, ME 04915-5700
Phone (866) 431-4077

Other identifiers 3

IdentifierTypeStateIssuer
9315709OtherMAAETNA/US HEALTHCARE
93592801OtherMANETWORK HEALTH PLAN
110088469AMedicaidMA

Other names 1

  • Ms. Rebecca L. York Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1093004137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5700",
            "address_2": "VALLEY MEDICA GROUP, P.C.",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700",
            "telephone_number": "866-431-4077",
            "fax_number": "413-774-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "address_2": "GREENFIELD HEALTH CENTER",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011521",
            "telephone_number": "413-774-6301",
            "fax_number": "413-772-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCALA",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "9315709",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN",
            "identifier": "93592801",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088469A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "YORK",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.