Individual provider Active NPI

Rebekah Rehberger, P.T., D.P.T.

  • Physical Therapist
  • Ithaca, NY
National Provider Identifier
1689119505
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040930-1 Issued in NY
Practice address
101 Dates Dr
Ithaca, NY 14850
Phone
(607) 274-4517
NPI assigned
Jan 1, 2017
Last updated
Nov 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 040930-1 NY Primary

Addresses

Primary practice location

101 Dates Dr
Ithaca, NY 14850

Mailing address

501 Warren PL
Ithaca, NY 14850-3144
Phone (845) 489-5027

Other practice location 1

2230 N Triphammer Rd
Ithaca, NY 14850-6513
Phone (607) 266-5300

Other practice location 2

2230 N Triphammer Rd
Ithaca, NY 14850-6513
Phone (607) 266-5300

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
040930-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1689119505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WARREN PL",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503144",
            "telephone_number": "845-489-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-274-4517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 N Triphammer Rd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148506513",
            "country_code": "US",
            "telephone_number": "607-266-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2230 N Triphammer Rd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148506513",
            "country_code": "US",
            "telephone_number": "607-266-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHBERGER",
        "first_name": "REBEKAH",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-01",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040930-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.