Rebekah Lisette Nilson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1162998 Issued in TX

Practice address

3551 Roger Brooke Dr
Department of Pain Management, Ipmc
Fort Sam Houston, TX 78234-4504

Phone

(210) 916-2888

Fax

(210) 916-3050

NPI assigned

Feb 21, 2008

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 names 1

• Mrs. Rebekah Lisette Rivas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1659540888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "DEPARTMENT OF PAIN MANAGEMENT, IPMC",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-2888",
            "fax_number": "210-916-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "DEPARTMENT OF PAIN MANAGEMENT, IPMC",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-2888",
            "fax_number": "210-916-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSON",
        "first_name": "REBEKAH",
        "middle_name": "LISETTE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1162998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "RIVAS",
            "middle_name": "LISETTE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryoma Jack Nichols, MD
• Chidimma Nicholson
• Nikoli Milan Nickson, MD
• Stephanie Rae Niedzielski, OTR/L
• Joshua Nielsen, MD
• Shakara Nixon, LCSW
• Debra Nofziger, PSYD
• Danielle Norman, RN
• Ashley Northcutt
• Garrett Norton, M.D.

• Physical Therapist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.