Organization Active NPI

Rekinected Physical Therapy, Inc

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1194312538
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REKINECTED PHYSICAL THERAPY, INC
Practice address
3141 Tiger Run CT Ste 114
Carlsbad, CA 92010-6706
Phone
(760) 585-2178
Fax
(833) 409-0654
NPI assigned
Dec 30, 2020
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Ms. Brittany Revell, PTNPI 1417420613
Title
Authorized Official/Partner/Owner
Phone
(760) 331-8111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3141 Tiger Run CT Ste 114
Carlsbad, CA 92010-6706

Mailing address

3141 Tiger Run CT Ste 114
Carlsbad, CA 92010-6706
Phone (760) 331-8111

Other practice location 1

681 Encinitas Blvd Ste 307
Encinitas, CA 92024-3762
Phone (760) 585-2178 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210222002119 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810302023 Receives reassigned benefits from 17 practitioners
Practice locations: Encinitas, CA; Carlsbad, CA

National Provider Directory

National Provider Directory

Locations

3141 Tiger Run Ct
Ste 114
Carlsbad, CA 92010
Phone (760) 331-8111

681 Encinitas Blvd
Ste 307
Encinitas, CA 92024
Phone (760) 585-2178

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1194312538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 TIGER RUN CT STE 114",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106706",
            "telephone_number": "760-331-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 TIGER RUN CT STE 114",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106706",
            "telephone_number": "760-585-2178",
            "fax_number": "833-409-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 Encinitas Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920243762",
            "country_code": "US",
            "telephone_number": "760-585-2178 x2",
            "fax_number": "833-409-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REKINECTED PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "REVELL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PARTNER/OWNER",
        "authorized_official_telephone_number": "760-331-8111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.