Rebuild Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REBUILD THERAPY SERVICES LLC

Doing business as

Rebuild Therapy Services

Practice address

1706 Silverberry Way
Oceanside, CA 92056-6422

Phone

(760) 230-3752

NPI assigned

Nov 3, 2020

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dylan Scott Tayag, LCSWNPI 1902281983

Title

Owner/Clinician

Phone

(760) 230-3752

Specialties & licenses 1

Addresses

Other names 1

• Rebuild Therapy Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dylan Scott Tayag, LCSW

  • Clinical Social Worker
  • Oceanside, CA
  • NPI 1902281983
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1154922425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SILVERBERRY WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566422",
            "telephone_number": "760-230-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SILVERBERRY WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566422",
            "telephone_number": "760-230-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "TAYAG",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "760-230-3752",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebuild Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebuild Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikhilkumar Raval, M.D.
• Dennis Pansacola Raymundo, SFIDC
• Nicole Kirsten Raymundo, R.N.
• Ashley Nicole Fredeluces Rayos
• Joseph N Reardon, DDS
• Tina L Recalde, D.P.T.
• Julia Recht, MOT, OTR/L
• Barry Stephen Reder, DDS
• Jacob L Redmon
• Deborah Ann Redmond, MFT

• Clinical Social Worker in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.