Individual provider Active NPI

Rebecca Lee Busciglio, LPTA

  • Physical Therapy Assistant
  • Virginia Beach, VA
National Provider Identifier
1508062019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306601972 Issued in VA
Practice address
2135 General Booth Blvd
Suite 152
Virginia Beach, VA 23454-5881
Phone
(757) 430-8828
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306601972 VA Primary

Addresses

Primary practice location

2135 General Booth Blvd
Suite 152
Virginia Beach, VA 23454-5881

Mailing address

1940 Southaven Dr
Virginia Beach, VA 23464-8810
Phone (757) 473-3088

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

State licenses

LicenseStateTypeSpecialty
2306601972VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508062019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 SOUTHAVEN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648810",
            "telephone_number": "757-473-3088",
            "fax_number": "757-473-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 GENERAL BOOTH BLVD",
            "address_2": "SUITE 152",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545881",
            "telephone_number": "757-430-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCIGLIO",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.