Individual provider Active NPI

Rebecca A. Hassel, D.P.T., M.S.

  • Physical Therapist
  • Sierra Vista, AZ
National Provider Identifier
1588066401
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11984 Issued in AZ
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

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12648775OtherCAQH #

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

LicenseStateTypeSpecialty
11984AZMDPhysical Therapist
037207-1NYMDPhysical Therapist
7529SCMDPhysical 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.

Verify at the official NPI Registry.