Active NPI
Rebecca R Edson, RPT
- Physical Therapist
- Eureka, KS
National Provider Identifier
1154591774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1102690
- Practice address
- 1020 N School St
Eureka, KS 67045-1106 - Phone
- (316) 541-2219
- NPI assigned
- Mar 11, 2008
- Last updated
- Mar 11, 2008
- 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 | 1102690 | KS | Primary |
Addresses
Primary practice location
1020 N School St
Eureka, KS 67045-1106
Mailing address
9689 SW 30TH St
Towanda, KS 67144-9025
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 |
|---|---|---|---|
| 1102690 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1154591774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9689 SW 30TH ST",
"city": "TOWANDA",
"state": "KS",
"postal_code": "671449025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 N SCHOOL ST",
"city": "EUREKA",
"state": "KS",
"postal_code": "670451106",
"telephone_number": "316-541-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDSON",
"first_name": "REBECCA",
"middle_name": "R",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1102690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, KS
- County of Greenwood (Greenwood County Health Department)
- CPF Senior Living - Eureka LLC (Vintage Park at Eureka)
- Kyoungok Im Crouch, APRN
- Michael J Duffy, O.D.
- Jennifer Eagleson, APRN
- Margaret J Epperson, OTR
- Eureka Nursing, LLC
- Eureka Pharmacy Inc (Eureka Pharmacy)
- Eureka Usd 389
- Greenwood County Hospital (Eureka Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.