Rebecca Weiner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017804 Issued in MI

Practice address

5777 W Maple Rd Ste 200
West Bloomfield, MI 48322-2271

Phone

(248) 938-0078

Fax

(248) 282-5361

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Goldstein Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gold Star Physical Therapy PLCGroup PAC ID 1850779349, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.weiner.p4@direct.athleticoltd.nextgenshare.com

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.

• Gold Star Physical Therapy PLC

  • Physical Therapist
  • West Bloomfield, MI
  • NPI 1306596754
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1457601734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD STE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222271",
            "telephone_number": "248-938-0078",
            "fax_number": "248-282-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD STE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222271",
            "telephone_number": "248-938-0078",
            "fax_number": "248-282-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "REBECCA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035414",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GOLDSTEIN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Carlton Weaver, MA, LPC, NCC, CBIS,
• Megan Ashley Webb, CRNA
• Jill Wegner, ACNP
• Alison Yasuyo Weidel, PA
• Jerrold H Weinberg, M.D.
• Ethan Weinfeld
• Jeffrey L. Weinfeld, D.D.S.
• Mark G. Weingarden, M.D.
• Robb Matthew Weir, M.D.
• Dorene Weisberg, LMSW

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.

Verify at the official NPI Registry.