Rejuvenance Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007729 Issued in WA

Legal business name

REJUVENANCE THERAPY LLC

Doing business as

Sarah W. Dible

Practice address

14201 NE 20TH Ave
Suite 1102
Vancouver, WA 98686-6410

Phone

(360) 882-7373

Fax

(360) 882-7673

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah W Dible, MSPTNPI 1154649192

Title

Sole Member

Phone

(360) 601-7485

Specialties & licenses 1

Addresses

Other names 1

• Sarah W. Dible Doing business as

Practitioners 1

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

• Sarah W Dible, MSPT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1154649192
  NPD (past) Authorized official

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1306165832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 NW 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986858006",
            "telephone_number": "360-601-7485",
            "fax_number": "503-597-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE",
            "address_2": "SUITE 1102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866410",
            "telephone_number": "360-882-7373",
            "fax_number": "360-882-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "DIBLE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "360-601-7485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah W. Dible",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Reindl
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• Elizabeth Dee Reinke, LMT
• Jennifer Jeanne Reisner, RN
• James A Reiss, MD
• Monica Rekstad
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• Stephen Alexander Reller, DMD

• Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.