Individual provider Active NPI

Rebecca E Chamberlain, PT, DPT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1124638226
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3920 Bee Ridge Rd
BLDG E, Unit G
Sarasota, FL 34233
Phone
(941) 925-2700
Fax
(941) 925-7744
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 Primary

Addresses

Primary practice location

3920 Bee Ridge Rd
BLDG E, Unit G
Sarasota, FL 34233

Mailing address

3920 Bee Ridge Road
BLDG E, Unit G
Sarasota, FL 34233-1207
Phone (941) 925-2700

Other practice location 1

104 53rd Ave E
Bradenton, FL 34203-4702
Phone (941) 925-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106000732 FL Practitioner - Physical Therapist in Private Practice 6901276005 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc CurrentSince Dec 2, 2024 Accepting new patients
The Shoreline Clinic, LLC Physical Therapist PastSince Sep 1, 2024 Accepting new patients

Locations

11505 Rangeland Pkwy
Bradenton, FL 34211
Phone (941) 907-6016

11505 Rangeland Pkwy
Fl 1
Bradenton, FL 34211

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

943 S Beneva Rd
Ste 204
Sarasota, FL 34232
Phone (941) 953-5213

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1124638226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE ROAD",
            "address_2": "BLDG E, UNIT G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-925-2700",
            "fax_number": "941-925-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BLDG E, UNIT G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-925-2700",
            "fax_number": "941-925-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 53rd Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342034702",
            "country_code": "US",
            "telephone_number": "941-925-2700",
            "fax_number": "941-925-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.