Active NPI
Rachel Thacker, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1184979015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1231322
- Practice address
- 2135 General Booth Blvd
152
Virginia Beach, VA 23454-5881 - Phone
- (757) 430-8828
- Fax
- (757) 430-8189
- NPI assigned
- Jul 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207519 | VA | |
| Physical Therapist | 225100000X | 1231322 | TX | Primary |
Addresses
Primary practice location
2135 General Booth Blvd
152
Virginia Beach, VA 23454-5881
Mailing address
2135 General Booth Blvd
152
Virginia Beach, VA 23454-5881
Phone (757) 430-8828
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305207519 | VA | MD | Physical Therapist |
| 1231322 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Therapy Centers Limited | Past | Accepting new patients | |
| Star Therapy Centers Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1336172931
-
- Physical Therapist
- Houston, TX
- NPI 1104903095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1184979015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 GENERAL BOOTH BLVD",
"address_2": "152",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545881",
"telephone_number": "757-430-8828",
"fax_number": "757-430-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 GENERAL BOOTH BLVD",
"address_2": "152",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545881",
"telephone_number": "757-430-8828",
"fax_number": "757-430-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKER",
"first_name": "RACHEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207519",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1231322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.