Active NPI
Rebecca Eagleeye, MPT
- Physical Therapist
- Cleveland, OH
National Provider Identifier
1629283700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010190
- Practice address
- 16600 W Sprague Rd
Ste 365
Cleveland, OH 44130-6318 - Phone
- (800) 297-1479
- Fax
- (866) 848-2496
- NPI assigned
- May 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013666 | IL | |
| Physical Therapist | 225100000X | 010190 | OH | Primary |
Addresses
Primary practice location
16600 W Sprague Rd
Ste 365
Cleveland, OH 44130-6318
Mailing address
16600 W Sprague Rd
Ste 365
Cleveland, OH 44130-6318
Phone (800) 297-1479
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 |
|---|---|---|---|
| 070013666 | IL | MD | Physical Therapist |
| 010190 | OH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace Management Corporation | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1629283700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16600 W SPRAGUE RD",
"address_2": "STE 365",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441306318",
"telephone_number": "800-297-1479",
"fax_number": "866-848-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16600 W SPRAGUE RD",
"address_2": "STE 365",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441306318",
"telephone_number": "800-297-1479",
"fax_number": "866-848-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLEEYE",
"first_name": "REBECCA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013666",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "010190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
- Eagle Home Health Services LLC
- Eagle Medical Services , LLC (Eagle Home Healthcare)
- Eagle Medical Services , LLC (Eagle Home Health Care)
- Eagle Medical Services, LLC (Eagle Home Health Care)
- Eagle Medical Services, LLC (Eagle Home Health Care)
- Matthew J Eagleton, MD
- Brittany S Ealey
- Daisey Belle Eanes, C-NP
- Myloana Monique Eanes
- Sierra Eanes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.