Rebecca Wassel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

012701 Issued in NY

Practice address

5700 W Genesee St Ste 2
Camillus, NY 13031-3260

Phone

(315) 468-1050

Fax

(315) 468-1201

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Camillus Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Camillus, NY
  • NPI 1457461006
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1316540503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST STE 2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313260",
            "telephone_number": "315-468-1050",
            "fax_number": "315-468-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST STE 2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313260",
            "telephone_number": "315-468-1050",
            "fax_number": "315-468-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Main St",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132123614",
            "country_code": "US",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSEL",
        "first_name": "REBECCA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Maureen Kimora Wallen, OD
• Tekhara Watson, LMFT
• Coreena L Weaver, MD
• Donna Mary Weckerle, AU.D.
• Ruthanne K Weinheimer, LCSW
• West ASC, LLC

• All providers in Camillus, NY
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.