Rebecca Roberts

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4817 Issued in HI

Practice address

78-6831 Alii Dr Ste 420
Kailua Kona, HI 96740-5403

Phone

(808) 498-4144

NPI assigned

Feb 13, 2019

Last updated

Feb 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Washington University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Hawaii Physical Therapy, LLCGroup PAC ID 6103356357, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Hawaii Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
  • NPI 1366277832

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapydia, Inc.

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
  • NPI 1972927119

  Physical Therapist

  Medicare reassignment NPD
• Therapydia, Inc.

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1639583602

  Physical Therapist

  NPD
• Southwest Physical Therapy LLC

  dba John Breuer Rehab Services

  • Rehabilitation Clinic/Center
  • Coos Bay, OR
  • NPI 1851407464
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1245796499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 TRAMWAY LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221309",
            "telephone_number": "847-736-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 420",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405403",
            "telephone_number": "808-498-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 11th St SE Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bandon",
            "state": "OR",
            "postal_code": "974119168",
            "country_code": "US",
            "telephone_number": "541-347-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023389",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62972",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-5172",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60890372",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Genevieve Rigg, OCCUPATIONAL THERAPI
• Robert P. Young M.D., Inc (The Eye Center of Hawaii)
• Charles A Roberts, DDS
• Kristina Danielle Roberts, ND
• Lucas Gary Roberts, PHARMD
• Ronald Ross Robinson, M.D.
• Gail Robison, ND
• Tatiana Christine Robson
• Roger a Weiss, Inc
• Toni Anne Romp-Friesen, APRN

• Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.