Individual provider Active NPI

Rebecca A Ironside, PT, MSPT

  • Physical Therapist
  • Parlin, NJ
National Provider Identifier
1700817491
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00951700 Issued in NJ
Practice address
6 Carter PL
Parlin, NJ 08859-1604
Phone
(908) 448-8246
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 40QA00951700 NJ Primary

Addresses

Primary practice location

6 Carter PL
Parlin, NJ 08859-1604

Mailing address

6 Carter PL
Parlin, NJ 08859-1604
Phone (908) 448-8246

Other practice location 1

3276 Washington Rd
Parlin, NJ 08859-1676
Phone (732) 238-8484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516003007 FL Practitioner - Physical Therapist in Private Practice 9638157647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go-PT IncGroup PAC ID 9032566799, 25 clinicians

Practice addresses (Care Compare)

900 E Indiantown Rd
Suite 100
Jupiter, FL 33477-5142
Phone (888) 627-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00951700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go-PT Inc. Physical Therapist CurrentSince Jan 30, 2025 Accepting new patients
The Center for Orthotic & Prosthetics Services Past Accepting new patients

Locations

900 E Indiantown Rd
Ste 100
Jupiter, FL 33477
Phone (888) 627-2325

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1700817491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CARTER PL",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591604",
            "telephone_number": "908-448-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CARTER PL",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591604",
            "telephone_number": "908-448-8246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3276 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Parlin",
            "state": "NJ",
            "postal_code": "088591676",
            "country_code": "US",
            "telephone_number": "732-238-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRONSIDE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00951700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.