Individual provider Active NPI

Rebecca Cristine McCracken, DPT

  • Physical Therapist
  • Port Orange, FL
National Provider Identifier
1093825960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21556 Issued in FL
Practice address
900 N Swallowtail Dr
Suite 107
Port Orange, FL 32129-6102
Phone
(386) 322-4641
Fax
(386) 322-4677
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT21556 FL Primary

Addresses

Primary practice location

900 N Swallowtail Dr
Suite 107
Port Orange, FL 32129-6102

Mailing address

3900 Yorktowne Blvd
Apt 5802
Port Orange, FL 32129-6008
Phone (386) 562-7233

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
Port Orange Physical Therapy Limited Partnership Physical Therapist PastSince Aug 21, 2006 Accepting new patients
Greg J. Mercurio, MD, PA PastSince May 10, 2020 Accepting new patients
Volusia Therapy LLC Physical Therapist PastSince Aug 25, 2009 Accepting new patients

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093825960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 YORKTOWNE BLVD",
            "address_2": "APT 5802",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296008",
            "telephone_number": "386-562-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWALLOWTAIL DR",
            "address_2": "SUITE 107",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296102",
            "telephone_number": "386-322-4641",
            "fax_number": "386-322-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "REBECCA",
        "middle_name": "CRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.