Rebound Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

SLP9200 Issued in CA

Legal business name

REBOUND REHAB

Practice address

6526 Lonetree Blvd
Rocklin, CA 95765-5886

Phone

(916) 772-2909

Fax

(916) 772-2989

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Xandra Tielman, M.S., CCC-SLP

Title

Speech Pathologist

Phone

(916) 772-2909

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1235433731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 LONETREE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655886",
            "telephone_number": "916-772-2909",
            "fax_number": "916-772-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 LONETREE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655886",
            "telephone_number": "916-772-2909",
            "fax_number": "916-772-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "TIELMAN",
        "authorized_official_first_name": "XANDRA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "916-772-2909",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "SLP9200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPARTMENT OF CONSUMER AFFAIRS",
            "identifier": "SLP9200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Raplee, BA, RBT
• Rareform Mental Health Nursing Apc
• Nazir Rasooli, DPM
• Kelsey Rath, MFT
• Ann Jenel Reboja
• Rebound Rehab Physical Therapy, Inc.
• Redwood Home Care LLC
• Regents of the University of California
• Pamela Reid, M.A., L.M.F.T
• Sonja Reinecke, MA

• Physical Therapy Clinic/Center in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.