Individual provider Active NPI

Rebecca Lynn Gabower, PTA

  • Physical Therapy Assistant
  • Racine, WI
National Provider Identifier
1649579277
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1743-019 Issued in WI
Practice address
1139 Sunnyslope Dr Ste 203
Racine, WI 53406-3998
Phone
(262) 321-0240
Fax
(262) 321-0242
NPI assigned
Mar 22, 2011
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1743-019 WI Primary

Addresses

Primary practice location

1139 Sunnyslope Dr Ste 203
Racine, WI 53406-3998

Mailing address

1139 Sunnyslope Dr Ste 203
Racine, WI 53406-3998
Phone (262) 321-0240

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1743-019WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1649579277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 SUNNYSLOPE DR STE 203",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063998",
            "telephone_number": "262-321-0240",
            "fax_number": "262-321-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 SUNNYSLOPE DR STE 203",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063998",
            "telephone_number": "262-321-0240",
            "fax_number": "262-321-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOWER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1743-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.