Active NPI
Rebekah Phillips Mikkelsen, RPT
- Physical Therapist
- Stanford, CA
National Provider Identifier
1124233499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8027
- Practice address
- Stanford University Hospital
Pasteur Drive
Stanford, CA 94035 - Phone
- (650) 723-6701
- NPI assigned
- May 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8027 | CA | Primary |
Addresses
Primary practice location
Stanford University Hospital
Pasteur Drive
Stanford, CA 94035
Mailing address
550 Ortega Ave
Unit 314
Mountain View, CA 94040-1500
Phone (650) 428-0564
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 |
|---|---|---|---|
| 8027 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124233499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ORTEGA AVE",
"address_2": "UNIT 314",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940401500",
"telephone_number": "650-428-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STANFORD UNIVERSITY HOSPITAL",
"address_2": "PASTEUR DRIVE",
"city": "STANFORD",
"state": "CA",
"postal_code": "94035",
"telephone_number": "650-723-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKKELSEN",
"first_name": "REBEKAH",
"middle_name": "PHILLIPS",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "8027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanford, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.