Active NPI
Rebecca Labandeira, PT
- Physical Therapist
- Fresno, CA
National Provider Identifier
1124175880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 33372
- Practice address
- 1630 E Herndon Ave
Fresno, CA 93720-3305 - Phone
- (559) 256-5200
- Fax
- (559) 256-5376
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 33372 | CA | Primary |
Addresses
Primary practice location
1630 E Herndon Ave
Fresno, CA 93720-3305
Mailing address
1630 E Herndon Ave
Fresno, CA 93720-3305
Phone (559) 256-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0218271 | Other | CA | STATE OF WASHINGTON |
Other names 1
- Rebecca Witt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 E Herndon Ave
Fresno, CA 93720-3391
Phone (559) 290-7051
2335 E Kashian LN
Fresno, CA 93701-2234
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 87.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 33372 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Sierra Pacific Orthopaedic Center Medical Group, Inc. | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Sierra Pacific Orthopaedic Center Medical Group Inc | Current | Accepting new patients |
Locations
1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
Interoperability endpoints
- rebecca.labandeirapt.p1@direct.spocortho.nextgenshare.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Specialist
- Fresno, CA
- NPI 1285669655
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1134668353
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Specialist
- Fresno, CA
- NPI 1669967311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124175880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203305",
"telephone_number": "559-256-5200",
"fax_number": "559-256-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203305",
"telephone_number": "559-256-5200",
"fax_number": "559-256-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABANDEIRA",
"first_name": "REBECCA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 33372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "0218271",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "WITT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.