Active NPI
Rebecka Marie Tobin, PT
- Pediatric Physical Therapist
- Dallas, TX
National Provider Identifier
1568080927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1151753
- Practice address
- 13720 Midway Rd Ste 107
Dallas, TX 75244-4313 - Phone
- (214) 646-1449
- Fax
- (214) 699-8962
- NPI assigned
- Jul 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1151753 | TX | Primary |
Addresses
Primary practice location
13720 Midway Rd Ste 107
Dallas, TX 75244-4313
Mailing address
13720 Midway Rd Ste 107
Dallas, TX 75244-4313
Phone (214) 646-1449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1151753 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dallas | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151753 | TX | MD | Pediatric Physical Therapist |
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1346740305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1568080927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13720 MIDWAY RD STE 107",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444313",
"telephone_number": "214-646-1449",
"fax_number": "214-699-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13720 MIDWAY RD STE 107",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444313",
"telephone_number": "214-646-1449",
"fax_number": "214-699-8962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "REBECKA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1151753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1151753",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dallas",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "13720 Midway Rd Ste 107",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752444313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.