Rebecca Claire Senizaiz, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1283069 Issued in TX

Practice address

218 Champion Dr
Wylie, TX 75098-4640

Phone

(469) 484-6812

Fax

(469) 519-1612

NPI assigned

Sep 16, 2014

Last updated

Nov 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rebecca Claire Mitchell Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bex Physical Therapy and Wellness LLC

  • Physical Therapist
  • Wylie, TX
  • NPI 1144816653
  Medicare reassignment NPD Authorized official
• Star Orthopedics and Sports Medicine PLLC

  • Orthopaedic Surgery Physician
  • Frisco, TX
  • NPI 1891200168
  Medicare reassignment NPD
• Star Orthopedics and Sports Medicine PLLC

  • Orthopaedic Surgery Physician
  • Coppell, TX
  • NPI 1033939863
  NPD

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1477954964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CHAMPION DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984640",
            "telephone_number": "469-484-6812",
            "fax_number": "469-519-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CHAMPION DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984640",
            "telephone_number": "469-484-6812",
            "fax_number": "469-519-1612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 N Goliad St",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750877204",
            "country_code": "US",
            "telephone_number": "214-697-9703",
            "fax_number": "214-276-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENIZAIZ",
        "first_name": "REBECCA",
        "middle_name": "CLAIRE",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41642",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1283069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477954964",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MITCHELL",
            "middle_name": "CLAIRE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jennifer Seng, MS, NCC, LPC
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• Alec Matthew Shapiro, DPT

• Physical Therapist in Wylie, TX
• Providers in Wylie, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.