Individual provider Active NPI

Rebecca Anne Dumas, PT

  • Physical Therapist
  • Elkin, NC
National Provider Identifier
1609389238
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P9676 Issued in NC
Practice address
145 Valleybrook Dr
Elkin, NC 28621
Phone
(336) 466-0330
NPI assigned
Nov 6, 2017
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P9676 NC
Physical Therapist 225100000X P9676 NC Primary

Addresses

Primary practice location

145 Valleybrook Dr
Elkin, NC 28621

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Other practice location 1

145 Valleybrook Dr
Elkin, NC 28621-3136
Phone (336) 466-0330

Other practice location 2

145 Valleybrook Dr
Elkin, NC 28621-3136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdumas657658@direct.novanthealth.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

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, 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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1609389238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 VALLEYBROOK DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "28621",
            "telephone_number": "336-466-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Valleybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286213136",
            "country_code": "US",
            "telephone_number": "336-466-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Valleybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286213136",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P9676",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdumas657658@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "145 Valleybrook Dr",
            "city": "Elkin",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286213136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.