Abby Rehberger

Individual provider Active NPI Physical Therapist · Roseville, MN

NPI 1235539446 · NPPES record last updated Jan 29, 2016

Key facts

NPI
1235539446
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
9751 (MN)
Practice address
1769 Lexington Ave N
286
Roseville, MN 55113-6522
Phone
(952) 835-4512
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Viverant, LLC Physical Therapist Past
since Aug 7, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9751 MN Yes

Addresses

Primary practice location

1769 Lexington Ave N
286
Roseville, MN 55113-6522

Mailing address

1769 Lexington Ave N
286
Roseville, MN 55113-6522
Phone (952) 835-4512

Other providers in Roseville, MN

All providers in Roseville, MN · Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.