Active NPI
Rebekah Heffner, DPT
- Physical Therapy Clinic/Center
- Rockville, MD
National Provider Identifier
1255616173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 23786
- Practice address
- 9909 Medical Center Dr
Rockville, MD 20850-6361 - Phone
- (240) 864-6200
- Fax
- (240) 864-6209
- NPI assigned
- Oct 12, 2011
- Last updated
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 23786 | MD | Primary |
Addresses
Primary practice location
9909 Medical Center Dr
Rockville, MD 20850-6361
Mailing address
9909 Medical Center Dr
Rockville, MD 20850-6361
Phone (240) 864-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23786 | Other | MD | PT LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23786 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1255616173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9909 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506361",
"telephone_number": "240-864-6200",
"fax_number": "240-864-6209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9909 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506361",
"telephone_number": "240-864-6200",
"fax_number": "240-864-6209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFNER",
"first_name": "REBEKAH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": "23786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "23786",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.