Active NPI
Rebecca Jane Wilson, M.A., P.T.
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1295845451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0430
- Practice address
- 63675 E Saddlebrooke Blvd
Suite R
Tucson, AZ 85739-1297 - Phone
- (520) 825-8002
- Fax
- (520) 825-8012
- NPI assigned
- Aug 30, 2006
- 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 Therapist | 225100000X | 0430 | AZ | Primary |
Addresses
Primary practice location
63675 E Saddlebrooke Blvd
Suite R
Tucson, AZ 85739-1297
Mailing address
63675 E Saddlebrooke Blvd
Suite R
Tucson, AZ 85739-1297
Phone (520) 825-8002
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0430 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1295845451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63675 E SADDLEBROOKE BLVD",
"address_2": "SUITE R",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857391297",
"telephone_number": "520-825-8002",
"fax_number": "520-825-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63675 E SADDLEBROOKE BLVD",
"address_2": "SUITE R",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857391297",
"telephone_number": "520-825-8002",
"fax_number": "520-825-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Prof.",
"credential": "M.A., P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "0430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.