Ann L. Raebel, PT

Key facts

NPI

1255377263

Entity type

Organization (NPI type 2)

Primary specialty

Physical Medicine & Rehabilitation Physician 208100000X

License

1923 (AR)

Legal business name

ANN L. RAEBEL, PT

Practice address

1420 S 8TH St
Rogers, AR 72756-5334

Phone

(479) 631-7262

Fax

(479) 631-6366

NPI assigned

Jun 20, 2006

Organization subpart

No

Authorized official

Name

Ann L Raebel, PT NPI 1609812114

Title

PA

Phone

(479) 631-7262

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Raebel, PT Physical Medicine & Rehabilitation Physician · Rogers, AR · NPI 1609812114
  NPD (past) Authorized official PHYSICAL MEDICINE & REHABILITATION
• Savelle Barnes, DC Chiropractor · Rogers, AR · NPI 1063440600
  NPD (past)

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255377263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2234",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727572234",
            "telephone_number": "479-631-7262",
            "fax_number": "479-631-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S 8TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727565334",
            "telephone_number": "479-631-7262",
            "fax_number": "479-631-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN L. RAEBEL, PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAEBEL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "479-631-7262",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5T977",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Rogers, AR · Physical Medicine & Rehabilitation Physician in Arkansas