Individual provider Active NPI

Rebecca M Barclift, MPT, DPT

  • Physical Therapist
  • Hiawatha, IA
National Provider Identifier
1609960657
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03462 Issued in IA
Practice address
740 N 15TH Ave
Suite 100
Hiawatha, IA 52233-2384
Phone
(319) 294-6694
Fax
(319) 294-6113
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03462 IA Primary

Addresses

Primary practice location

740 N 15TH Ave
Suite 100
Hiawatha, IA 52233-2384

Mailing address

740 N 15TH Ave
Suite 100
Hiawatha, IA 52233-2384
Phone (319) 294-6694

Other identifiers 1

IdentifierTypeStateIssuer
0665430MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000439 IA Practitioner - Physical Therapist in Private Practice 5799853503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kepros Physical Therapy and Performance PCGroup PAC ID 7719105063, 19 clinicians

Practice addresses (Care Compare)

218 4TH Ave SW
Cedar Rapids, IA 52404-5720
Phone (319) 200-6102

780 Community Dr
Unit 5
North Liberty, IA 52317-2510
Phone (319) 383-0322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03462IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kepros Physical Therapy and Performance, P.C. Physical Therapist CurrentSince Sep 1, 2014 Accepting new patients
Five Seasons Physical Therapy, PLLC Physical Therapist PastSince Nov 1, 2016 Accepting new patients
Iowa Physical Therapy PC PastSince Sep 30, 2013 Accepting new patients

Locations

218 4th Ave SW
Cedar Rapids, IA 52404
Phone (319) 200-6102

101 3rd Ave SW
Ste 102
Cedar Rapids, IA 52404
Phone (319) 200-6102

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1609960657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N 15TH AVE",
            "address_2": "SUITE 100",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332384",
            "telephone_number": "319-294-6694",
            "fax_number": "319-294-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N 15TH AVE",
            "address_2": "SUITE 100",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332384",
            "telephone_number": "319-294-6694",
            "fax_number": "319-294-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLIFT",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.