Individual provider Active NPI

Rebekah Lynn Aranda, PT

  • Physical Therapist
  • Fort Ashby, WV
National Provider Identifier
1104173996
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003041 Issued in WV
Practice address
1 Diane Drive
Box 686
Fort Ashby, WV 26719
Phone
(610) 925-4253
NPI assigned
Aug 10, 2012
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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 PT003041 WV Primary

Addresses

Primary practice location

1 Diane Drive
Box 686
Fort Ashby, WV 26719

Mailing address

1440 Coral Ridge Dr
Suite 435
Coral Springs, FL 33071-5433
Phone (800) 568-4733

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

LicenseStateTypeSpecialty
PT003041WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1104173996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CORAL RIDGE DR",
            "address_2": "SUITE 435",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715433",
            "telephone_number": "800-568-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIANE DRIVE",
            "address_2": "BOX 686",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "26719",
            "telephone_number": "610-925-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANDA",
        "first_name": "REBEKAH",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Ashby, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.