Rebecca Todd, PT, DPT

Individual provider Active NPI Physical Therapist · Georgetown, IN

NPI 1710436613 · NPPES record last updated Oct 3, 2016

Key facts

NPI
1710436613
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT291815 (CA)
Practice address
7105 Branden Dr
Georgetown, IN 47122-8612
Phone
(812) 989-4002
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT291815CAMDPhysical Therapist
PT016386OHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT291815 CA Yes
Physical Therapist 225100000X PT016386 OH

Addresses

Primary practice location

7105 Branden Dr
Georgetown, IN 47122-8612

Mailing address

7105 Branden Dr
Georgetown, IN 47122-8612
Phone (812) 989-4002

Other providers in Georgetown, IN

All providers in Georgetown, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.