Active NPI
Rebecca McClintic, DPT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1699241398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-30265
- Practice address
- 4210 E Baseline Rd
Mesa, AZ 85206-4417 - Phone
- (480) 821-1997
- Fax
- (480) 821-2536
- NPI assigned
- Oct 19, 2018
- Last updated
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30265 | AZ | Primary |
Addresses
Primary practice location
4210 E Baseline Rd
Mesa, AZ 85206-4417
Mailing address
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Phone (480) 821-1997
Other names 1
- Rebecca Schnabel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-30265 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activerx, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
10165 N 92nd St
Ste 103
Scottsdale, AZ 85258
Phone (480) 304-5656
3370 N Hayden Rd
Scottsdale, AZ 85251
Phone (480) 304-5656
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1699241398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 W CHANDLER BLVD STE 103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245223",
"telephone_number": "480-821-1997",
"fax_number": "480-821-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 E BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852064417",
"telephone_number": "480-821-1997",
"fax_number": "480-821-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLINTIC",
"first_name": "REBECCA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "SCHNABEL",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.