Active NPI
Rebecca A. Hassel, D.P.T., M.S.
- Physical Therapist
- Sierra Vista, AZ
National Provider Identifier
1588066401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11984
- Practice address
- 3455 Canyon de Flores Ste B
Sierra Vista, AZ 85650-5380 - Phone
- (520) 803-9727
- NPI assigned
- Sep 23, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7529 | SC | |
| Physical Therapist | 225100000X | 037207-1 | NY | |
| Physical Therapist | 225100000X | 11984 | AZ | Primary |
Addresses
Primary practice location
3455 Canyon de Flores Ste B
Sierra Vista, AZ 85650-5380
Mailing address
3816 Shady Lane Cir
Brainerd, MN 56401-7936
Phone (218) 831-0507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12648775 | Other | CAQH # |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11984 | AZ | MD | Physical Therapist |
| 037207-1 | NY | MD | Physical Therapist |
| 7529 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1588066401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 SHADY LANE CIR",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564017936",
"telephone_number": "218-831-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 CANYON DE FLORES STE B",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856505380",
"telephone_number": "520-803-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSEL",
"first_name": "REBECCA",
"middle_name": "A.",
"credential": "D.P.T., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7529",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037207-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH #",
"identifier": "12648775",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.