Active NPI
Rebecca Jean Hibner
- Physical Therapist
- Keizer, OR
National Provider Identifier
1316227770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60499
- Practice address
- 4025 Cherry Ave NE
Keizer, OR 97303-4859 - Phone
- (503) 390-9009
- Fax
- (503) 393-0834
- NPI assigned
- Aug 17, 2011
- Last updated
- Jul 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013361 | OH | |
| Physical Therapist | 225100000X | 60499 | OR | Primary |
Addresses
Primary practice location
4025 Cherry Ave NE
Keizer, OR 97303-4859
Mailing address
PO Box 21563
Keizer, OR 97307-1563
Phone (503) 390-9009
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013361 | OH | MD | Physical Therapist |
| 60499 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1316227770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21563",
"city": "KEIZER",
"state": "OR",
"postal_code": "973071563",
"telephone_number": "503-390-9009",
"fax_number": "503-393-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 CHERRY AVE NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034859",
"telephone_number": "503-390-9009",
"fax_number": "503-393-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBNER",
"first_name": "REBECCA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT013361",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.