Active NPI
Jeanne Rabe, PT
- Physical Therapist
- Greeley, CO
National Provider Identifier
1629159249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4834
- Practice address
- 2780 28TH Ave
Greeley, CO 80634-7803 - Phone
- (970) 339-0011
- Fax
- (970) 339-0033
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4834 | CO | Primary |
Addresses
Primary practice location
2780 28TH Ave
Greeley, CO 80634-7803
Mailing address
2780 28TH Ave
Greeley, CO 80634-7803
Phone (970) 339-0011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39982285 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4834 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629159249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 28TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347803",
"telephone_number": "970-339-0011",
"fax_number": "970-339-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 28TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347803",
"telephone_number": "970-339-0011",
"fax_number": "970-339-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABE",
"first_name": "JEANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39982285",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.