Individual provider Active NPI

Rebecca Leigh Chapman, PT

  • Physical Therapist
  • Fountain Hills, AZ
National Provider Identifier
1679526479
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3748 Issued in AZ
Practice address
13215 N Verde River Dr
Suite #4
Fountain Hills, AZ 85268-8308
Phone
(480) 821-1997
Fax
(480) 821-1887
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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 3748 AZ Primary

Addresses

Primary practice location

13215 N Verde River Dr
Suite #4
Fountain Hills, AZ 85268-8308

Mailing address

1076 W Chandler Blvd
Suite 103
Chandler, AZ 85224-5225
Phone (480) 821-1997

Other names 1

  • Rebecca Leigh Bloom Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000386 AZ Practitioner - Physical Therapist in Private Practice 3971417833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fountain Hills Physical Therapy LLCGroup PAC ID 4385946169, 5 clinicians

Practice addresses (Care Compare)

16650 E Palisades Blvd
Suite 109
Fountain Hills, AZ 85268-3764
Phone (480) 404-6775

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as individual
Quality
80
Improvement activities
40
Cost
73.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3748AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Hills Physical Therapy LLC Physical Therapist CurrentSince Sep 11, 2019 Accepting new patients
Continuum Wellness Clinic LLC Physical Therapist Past Accepting new patients
Hosmer Physical Therapy Corp. Physical Therapist PastSince Jun 15, 2009 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients

Locations

16650 E Palisades Blvd
Ste 109
Fountain Hls, AZ 85268
Phone (480) 404-6775

Organizations & group practices 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1679526479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD",
            "address_2": "SUITE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245225",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR",
            "address_2": "SUITE #4",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688308",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BLOOM",
            "middle_name": "LEIGH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.