Individual provider Active NPI

Rebeca Michelle Dena, PT

  • Physical Therapist
  • North Tonawanda, NY
National Provider Identifier
1114900628
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016282 Issued in NY
Practice address
7050 Witmer Rd
North Tonawanda, NY 14120-1018
Phone
(716) 695-0652
Fax
(716) 695-0652
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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 016282 NY Primary

Addresses

Primary practice location

7050 Witmer Rd
North Tonawanda, NY 14120-1018

Mailing address

7050 Witmer Rd
North Tonawanda, NY 14120-1018
Phone (716) 695-0652

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1114900628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 WITMER RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201018",
            "telephone_number": "716-695-0652",
            "fax_number": "716-695-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 WITMER RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201018",
            "telephone_number": "716-695-0652",
            "fax_number": "716-695-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENA",
        "first_name": "REBECA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.