Active NPI
Rebecca J. Wing, MPT
- Physical Therapist
- Palmer, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764750001 | Other | CT | CIGNA GRP # |
| CONN605700112 | Other | CT | PRIVATEHLTHCARESYS GRP# |
| 080007112CT01 | Other | CT | ANTHEM:REBECCAJ.ANDERSON |
| ANC1648 | Other | CT | OXFORD GRP # |
| C009365 | Other | CT | CHAMPUS GRP # |
| 119457 | Other | CT | AETNA GRP # |
| CT154333 | Other | CT | PREFEREEDHLTHNETWRK GRP# |
| 061090356 | Other | CT | FEDERAL TAX ID# |
| OV1296 | Other | CT | HEALTHNET GRP # |
| 061090356 | Other | CT | CIGNA ORTHONET GRP # |
Other names 1
- Rebecca J. Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007112 | CT | MD | Clinical Social Worker |
| 7112 | CT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Orthopedic Surgeons | Physical Therapist | Current | Accepting new patients |
| Northeast Orthopaedic Alliance PLLC | Current | Accepting new patients | |
| Suburban Physical Therapy & Sports Medicine Center, LLC | Physical Therapist | Current | Accepting new patients |
| New England Orthopedic Surgeons | Current | Accepting new patients | |
| Northeast Orthopaedic Alliance PLLC | Current | Accepting new patients | |
| Vantage Sports and Rehab, LLC | Physical Therapist | Past | 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.
-
- Orthopaedic Surgery Physician
- Waltham, MA
- NPI 1417724170
-
- Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1760416630
Physical Therapist
-
- Physical Therapist
- Rocky Hill, CT
- NPI 1023011681
-
- Specialist
- Northampton, MA
- NPI 1710557459
-
- Durable Medical Equipment & Medical Supplies
- Derry, NH
- NPI 1477374155
-
- Physical Therapy Clinic/Center
- Palmer, MA
- NPI 1770814089
Physical Therapist
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.