Active NPI
Rebecca Anne McFadden, MPT
- Pediatric Physical Therapist
- Reno, NV
National Provider Identifier
1093899502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 0688
- Practice address
- 10587 Double R Blvd
Reno, NV 89521-8909 - Phone
- (775) 324-5371
- Fax
- (775) 852-5373
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 0688 | NV | Primary |
| Pediatric Physical Therapist | 2251P0200X | 16414 | CA |
Addresses
Primary practice location
10587 Double R Blvd
Reno, NV 89521-8909
Mailing address
PO Box 7523
Tahoe City, CA 96145-7523
Phone (530) 581-3813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XPT000400 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16414 | CA | MD | Professional Counselor |
| 0688 | NV | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Communication Services | Past | 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.
-
- Speech-Language Pathologist
- Reno, NV
- NPI 1447303094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093899502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7523",
"city": "TAHOE CITY",
"state": "CA",
"postal_code": "961457523",
"telephone_number": "530-581-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10587 DOUBLE R BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895218909",
"telephone_number": "775-324-5371",
"fax_number": "775-852-5373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "REBECCA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NV",
"license": "0688",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "16414",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPT000400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.