Active NPI
Rebecca Jean Crider, MPT, WCC
- Physical Therapist
- Benton, KY
National Provider Identifier
1710164678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004450
- Practice address
- 503 George McClain Dr
Benton, KY 42025-1331 - Phone
- (270) 527-4848
- Fax
- (270) 527-4940
- NPI assigned
- Jan 23, 2008
- Last updated
- Jan 23, 2008
- 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 | 004450 | KY | Primary |
Addresses
Primary practice location
503 George McClain Dr
Benton, KY 42025-1331
Mailing address
503 George McClain Dr
Benton, KY 42025-1331
Phone (270) 527-4848
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004450 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1710164678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 GEORGE MCCLAIN DR",
"city": "BENTON",
"state": "KY",
"postal_code": "420251331",
"telephone_number": "270-527-4848",
"fax_number": "270-527-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 GEORGE MCCLAIN DR",
"city": "BENTON",
"state": "KY",
"postal_code": "420251331",
"telephone_number": "270-527-4848",
"fax_number": "270-527-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "REBECCA",
"middle_name": "JEAN",
"name_prefix": "Mr.",
"credential": "MPT, WCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, KY
- Community Alternatives Kentucky, Inc.
- Community Care of Kentucky Inc.
- Community Options, Inc.
- Comprehensive Pharmacy Solutions, LLC (Comprehensive Pharmacy Solutions)
- Meredith A Crider, APRN
- Levi Crossley, MSOT, OTR/L
- Andrew Steven Cude, DMD
- Timothy Allen Cude, DMD
- Mary Jane Darnell, COTA
- Rhonda K Darnell, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.