Active NPI
Rebelle Therapy PLLC
- Acupuncturist
- Seattle, WA
National Provider Identifier
1174487896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- REBELLE THERAPY PLLC
- Practice address
- 2120 1St Ave N Unit B10
Seattle, WA 98109-2301 - Phone
- (206) 414-8115
- NPI assigned
- Dec 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Ida Kardos, DACHM, LAC, LMT
- Title
- Owner
- Phone
- (206) 687-5727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Acupuncturist | 171100000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
2120 1St Ave N Unit B10
Seattle, WA 98109-2301
Mailing address
2120 1St Ave N Unit B10
Seattle, WA 98109-2301
Phone (206) 414-8115
National Provider Directory
National Provider DirectoryLocations
2120 1st Ave N
Unit B10
Seattle, WA 98109
Phone (206) 414-8115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Seattle, WA
- NPI 1548521735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1174487896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 1ST AVE N UNIT B10",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092301",
"telephone_number": "206-414-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 1ST AVE N UNIT B10",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092301",
"telephone_number": "206-414-8115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBELLE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "KARDOS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "IDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-687-5727",
"authorized_official_credential": "DACHM, LAC, LMT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.