Individual provider Active NPI

Rebecca Wolfe

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1184086241
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13239 Issued in WI
Practice address
451 21St Ave Ste a
Longmont, CO 80501-1421
Phone
(303) 678-7170
Fax
(303) 678-7170
NPI assigned
Mar 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 13239 WI Primary

Addresses

Primary practice location

451 21St Ave Ste a
Longmont, CO 80501-1421

Mailing address

451 21St Ave Ste a
Longmont, CO 80501-1421
Phone (303) 678-7170

Other practice location 1

6800 N 76th St
Milwaukee, WI 53223-5002
Phone (414) 353-5000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13239WIMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1184086241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 21ST AVE STE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011421",
            "telephone_number": "303-678-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 21ST AVE STE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011421",
            "telephone_number": "303-678-7170",
            "fax_number": "303-678-7170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 N 76th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532235002",
            "country_code": "US",
            "telephone_number": "414-353-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-27",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.