Individual provider Active NPI

Rebecca Rothera

  • Rehabilitation Practitioner
  • Matthews, NC
National Provider Identifier
1649080177
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
7800 Stevens Mill Rd # L
Matthews, NC 28104-6111
Phone
(704) 893-5050
Fax
(704) 893-5066
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

7800 Stevens Mill Rd # L
Matthews, NC 28104-6111

Mailing address

7800 Stevens Mill Rd # L
Stallings, NC 28104-6111
Phone (704) 893-5050

Other names 1

  • Rebecca Brewer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000676 NC Practitioner - Physical Therapist in Private Practice 1052832649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Grenda Group LLCGroup PAC ID 2860635109, 3 clinicians

Practice addresses (Care Compare)

7800 Stevens Mill Rd
Suite L
Stallings, NC 28104-6111
Phone (704) 893-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Grenda Group LLC CurrentSince Feb 3, 2025 Accepting new patients
Weddington Chiropractic Wellness Center Past Accepting new patients

Locations

13655 Providence Rd
Weddington, NC 28104
Phone (704) 246-7050

Organizations & group practices 2

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1649080177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 STEVENS MILL RD # L",
            "city": "STALLINGS",
            "state": "NC",
            "postal_code": "281046111",
            "telephone_number": "704-893-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 STEVENS MILL RD # L",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281046111",
            "telephone_number": "704-893-5050",
            "fax_number": "704-893-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHERA",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BREWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.