Individual provider Active NPI

Rebecca J. Wing, MPT

  • Physical Therapist
  • Palmer, MA
National Provider Identifier
1275593741
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16031 Issued in MA
Practice address
1581 N Main St
Palmer, MA 01069-1232
Phone
(413) 283-8303
Fax
(413) 283-8304
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7112 CT
Geriatric Physical Therapist 2251G0304X 7112 CT
Rehabilitation Practitioner 225400000X 7112 CT
Neurology Physical Therapist 2251N0400X 7112 CT
Sports Physical Therapist 2251S0007X 7112 CT
Orthopedic Physical Therapist 2251X0800X 7112 CT
Physical Therapist 225100000X 16031 MA Primary

Addresses

Primary practice location

1581 N Main St
Palmer, MA 01069-1232

Mailing address

1581 N Main St
Palmer, MA 01069-1232
Phone (413) 283-8303

Other identifiers 10

IdentifierTypeStateIssuer
764750001OtherCTCIGNA GRP #
CONN605700112OtherCTPRIVATEHLTHCARESYS GRP#
080007112CT01OtherCTANTHEM:REBECCAJ.ANDERSON
ANC1648OtherCTOXFORD GRP #
C009365OtherCTCHAMPUS GRP #
119457OtherCTAETNA GRP #
CT154333OtherCTPREFEREEDHLTHNETWRK GRP#
061090356OtherCTFEDERAL TAX ID#
OV1296OtherCTHEALTHNET GRP #
061090356OtherCTCIGNA ORTHONET GRP #

Other names 1

  • Rebecca J. Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100517000384 MA Practitioner - Physical Therapist in Private Practice 2163550880 Reassigns benefits to 2 organizations
I20171005001118 CT Practitioner - Physical Therapist in Private Practice 2163550880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

975 Springfield St
Feeding Hills, MA 01030-2190
Phone (714) 785-4666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007112CTMDClinical Social Worker
7112CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Orthopedic Surgeons Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Suburban Physical Therapy & Sports Medicine Center, LLC Physical Therapist CurrentSince Jul 28, 2017 Accepting new patients
New England Orthopedic Surgeons CurrentSince Aug 2, 2021 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Vantage Sports and Rehab, LLC Physical Therapist PastSince Mar 21, 2010 Accepting new patients

Locations

506 Cromwell Ave
Ste 103
Rocky Hill, CT 06067
Phone (860) 721-9801

975 Springfield St
Feeding Hills, MA 01030
Phone (714) 785-4666

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1275593741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691232",
            "telephone_number": "413-283-8303",
            "fax_number": "413-283-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691232",
            "telephone_number": "413-283-8303",
            "fax_number": "413-283-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "REBECCA",
        "middle_name": "J.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "7112",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CT",
            "license": "7112",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CT",
            "license": "7112",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CT",
            "license": "7112",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CT",
            "license": "7112",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "7112",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GRP #",
            "identifier": "764750001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATEHLTHCARESYS GRP#",
            "identifier": "CONN605700112",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM:REBECCAJ.ANDERSON",
            "identifier": "080007112CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD GRP #",
            "identifier": "ANC1648",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS GRP #",
            "identifier": "C009365",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GRP #",
            "identifier": "119457",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFEREEDHLTHNETWRK GRP#",
            "identifier": "CT154333",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID#",
            "identifier": "061090356",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GRP #",
            "identifier": "OV1296",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET GRP #",
            "identifier": "061090356",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ANDERSON",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.