Rebecca Jacewicz

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

12220 E Riggs Rd Ste 101
Chandler, AZ 85249

Phone

(480) 895-0965

NPI assigned

Aug 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carling Physical TherapyGroup PAC ID 5890139471, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carling Physical Therapy

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1396882999
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1619085750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S GILBERT RD STE 1-138",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 E RIGGS RD STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85249",
            "telephone_number": "480-895-0965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 W Greentree Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852842712",
            "country_code": "US",
            "telephone_number": "480-785-1765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1729 W Greentree Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852842712",
            "country_code": "US",
            "telephone_number": "480-785-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACEWICZ",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "6729",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Keith Braun MD PC
• J. Grant Johansen DMD PLLC
• J&Bhealthcare LLC
• Sallu M. Jabati, M.D.
• Khaldoun Jabi, MD
• Jack Wright Dentistry PC
• Brianna Lynn Jack, M.A,BCBA,LBA
• Jackson Taravine Sr
• Corliss Colleen Jackson, REIKI MASTER
• Darius Jackson, PT, DPT

• Physical Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.