Rebecca Boone Medendorp, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10235 Issued in NC

Practice address

1 University Pkwy
High Point, NC 27268-2108

Phone

(336) 841-9805

NPI assigned

Nov 6, 2009

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Premier Physical Therapy and Wellness, PC

  • Physical Therapist
  • New York, NY
  • NPI 1821412495

  Multi-Specialty

  NPD (past)
• Premier Physical Therapy and Wellness, PC

  • Physical Therapist
  • New York, NY
  • NPI 1912996141

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1477880722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272684260",
            "telephone_number": "336-841-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272682108",
            "telephone_number": "336-841-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDENDORP",
        "first_name": "REBECCA",
        "middle_name": "BOONE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Parker McTyre, M.D.
• Charlotte D. McVearry, P-LCSW
• Tammy J Meade, PT
• Christine M Mealey, RN
• Medbox LLC
• Medexpress Urgent Care North Carolina, P.C.
• Medgate LLC
• Medical Center of High Point Cancer Center
• Medical Center Urology PA
• Medical Innovations Concepts, P.C.

• Physical Therapist in High Point, NC
• Providers in High Point, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.