Rebecca Dejnak

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

MA 15277 Issued in MA

Practice address

17 New South St
Suite 102
Northampton, MA 01060-4073

Phone

(413) 582-0005

Fax

(413) 582-7979

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northampton Physical Therapy Clinic, Inc.

  • Physical Therapist
  • Northampton, MA
  • NPI 1275622383
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1588710677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HOOSAC RD",
            "city": "DEERFIELD",
            "state": "MA",
            "postal_code": "013429731",
            "telephone_number": "413-582-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NEW SOUTH ST",
            "address_2": "SUITE 102",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604073",
            "telephone_number": "413-582-0005",
            "fax_number": "413-582-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJNAK",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "MA 15277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sallie Deans-Lake, MSW, PHD.
• Deborah Becerra Clinical Services LLC
• Samantha Decarlo
• Michelle Ann Dedischew
• Martha Dehahn
• Edmund Piper Delacour, PH.D.
• Shelbie L Delaney, FNP-BC
• Kaleigh Ashlyn Dellazoppa
• Madeleine Sophia Delvicario, MSW
• Aaron A Demaio, D.M.D.

• Physical Therapist in Northampton, MA
• Providers in Northampton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.