Individual provider Active NPI

Rebecca Taylor Kolb, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1578159307
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP054490T Issued in NC
Practice address
3708 Forestview Rd Ste 101
Raleigh, NC 27612-2391
Phone
(919) 786-7434
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP054490T NC Primary
Physical Therapist 225100000X PT029014 PA

Addresses

Primary practice location

3708 Forestview Rd Ste 101
Raleigh, NC 27612-2391

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168

Other names 1

  • Rebecca Taylor Cannizzaro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204001737 PA Practitioner - Physical Therapist in Private Practice 9436563301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians
Pivot Physical Therapy of Pennsylvania LLCGroup PAC ID 4981971843, 123 clinicians

Practice addresses (Care Compare)

173 Holly Rd
Suite 90
Gilbertsville, PA 19525-9367
Phone (610) 421-1380

3215 N 5TH St Hwy
Suite 4
Reading, PA 19605-2450
Phone (484) 509-4235

4301 Penn Ave
Sinking Spring, PA 19608-1370
Phone (610) 927-4136

4948 Pennell Rd
Aston, PA 19014-1867
Phone (610) 494-8730

655 Northern Blvd
South Abington Township, PA 18411-8740
Phone (570) 587-2142

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP054490TNCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jun 22, 2026 Accepting new patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Procare Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

3708 Forestview Rd
Ste 101
Raleigh, NC 27612
Phone (919) 786-7434

4948 Pennell Rd
Aston, PA 19014
Phone (610) 494-8730

222 E Main St
Unit 17
Collegeville, PA 19426
Phone (610) 601-0641

4301 Penn Ave
Sinking Spring, PA 19608
Phone (610) 927-4136

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1578159307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 FORESTVIEW RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122391",
            "telephone_number": "919-786-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "REBECCA",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP054490T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CANNIZZARO",
            "middle_name": "TAYLOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.