Individual provider Active NPI

Rebekah C McClain, P.T.

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1669652244
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7957 Issued in TN
Practice address
2000 Hewitt Ave
Suite 115
Everett, WA 98201
Phone
(425) 525-2390
Fax
(425) 252-7940
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7957 TN Primary

Addresses

Primary practice location

2000 Hewitt Ave
Suite 115
Everett, WA 98201

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other practice location 1

2000 Hewitt Ave
Suite 115
Everett, WA 98201-3600
Phone (425) 525-2390

Other identifiers 5

IdentifierTypeStateIssuer
8947237OtherWAL&I CRIME
G8871705OtherWAMEDICARE
8507428OtherWADSHS
0232273OtherWADEPT OF L&I
Q010022MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324001981 TN Practitioner - Physical Therapist in Private Practice 6305923905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

394 Harding PL
Nashville, TN 37211-3980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Jan 1, 2015 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients

Locations

115 Willard Hagan Dr
Ste 100
Lebanon, TN 37090
Phone (615) 547-6700

115 Willard Hagan Dr
Ste 101
Lebanon, TN 37090
Phone (615) 547-6700

100 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 547-6700

100 Physicians Way
Ste 110
Lebanon, TN 37090
Phone (615) 449-1100

1321 Murfreesboro Pike
Ste 510
Nashville, TN 37217
Phone (615) 366-8890

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

Interoperability endpoints

  • Direct secure messaging: rebekah.mcclain.1@321.direct.athenahealth.com

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1669652244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HEWITT AVE",
            "address_2": "SUITE 115",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-525-2390",
            "fax_number": "425-252-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hewitt Ave",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013600",
            "country_code": "US",
            "telephone_number": "425-525-2390",
            "fax_number": "425-252-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "REBEKAH",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME",
            "identifier": "8947237",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8871705",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8507428",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0232273",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010022",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.