Active NPI
Rebecca S Rathjen, OT
- Specialist
- Grand Island, NE
National Provider Identifier
1225048499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 745
- Practice address
- 4135 Indianhead Dr
Grand Island, NE 68803-6429 - Phone
- (308) 385-4768
- Fax
- (308) 381-3646
- NPI assigned
- Aug 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 745 | NE | Primary |
Addresses
Primary practice location
4135 Indianhead Dr
Grand Island, NE 68803-6429
Mailing address
4135 Indianhead Dr
Grand Island, NE 68803-6429
Phone (308) 385-4768
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 |
|---|---|---|---|
| 745 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rathjen Physical Therapy LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Grand Island, NE
- NPI 1366452542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1225048499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 INDIANHEAD DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688036429",
"telephone_number": "308-385-4768",
"fax_number": "308-381-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 INDIANHEAD DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688036429",
"telephone_number": "308-385-4768",
"fax_number": "308-381-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHJEN",
"first_name": "REBECCA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": "745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.