Individual provider Active NPI

Rebecca Claire Jordan, PT

  • Physical Therapist
  • Budd Lake, NJ
National Provider Identifier
1528120722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA003562 Issued in NJ
Practice address
Kessler 141 Route 46 East
Budd Lake, NJ 07828
Phone
(973) 691-4244
Fax
(973) 448-9635
NPI assigned
Dec 14, 2006
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 Therapist 225100000X PT40QA003562 NJ Primary

Addresses

Primary practice location

Kessler 141 Route 46 East
Budd Lake, NJ 07828

Mailing address

213 Pleasant Grove Rd
Long Valley, NJ 07853-3637
Phone (908) 979-0555

Other names 1

  • Ms. Rebecca Claire Westphal Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40QA003562NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Wound Care LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528120722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PLEASANT GROVE RD",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533637",
            "telephone_number": "908-979-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KESSLER 141 ROUTE 46 EAST",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-691-4244",
            "fax_number": "973-448-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "REBECCA",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA003562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WESTPHAL",
            "middle_name": "CLAIRE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Budd Lake, NJ

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.