Individual provider Active NPI

Rebekah Ann Crall, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1093290140
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33044 Issued in FL
Practice address
3000 Medical Park Dr Ste 200
Tampa, FL 33613-4695
Phone
(813) 879-8046
Fax
(855) 388-5356
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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 PT33044 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 200
Tampa, FL 33613-4695

Mailing address

10002 Princess Palm Ave Ste 332
Tampa, FL 33619-8327
Phone (813) 685-5762

Other practice location 1

3006 W Azeele St
Tampa, FL 33609-3139
Phone (813) 879-8046

Other practice location 2

13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 879-8046

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1093290140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 PRINCESS PALM AVE STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198327",
            "telephone_number": "813-685-5762",
            "fax_number": "813-654-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134695",
            "telephone_number": "813-879-8046",
            "fax_number": "855-388-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 W Azeele St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093139",
            "country_code": "US",
            "telephone_number": "813-879-8046",
            "fax_number": "855-388-5356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13015 Summerfield Square Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787402",
            "country_code": "US",
            "telephone_number": "813-879-8046",
            "fax_number": "855-388-5356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRALL",
        "first_name": "REBEKAH",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.