Rebecca Rebholz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305208873 Issued in VA

Practice address

6355 Walker Lane
Suite 512
Alexandria, VA 22310

Phone

(703) 647-3110

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Miknis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1720497068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 512",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103251",
            "telephone_number": "703-647-3110",
            "fax_number": "703-822-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LANE",
            "address_2": "SUITE 512",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-647-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHOLZ",
        "first_name": "REBECCA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MIKNIS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Avery Razak
• Armin Susan Razavi, M.D.
• Parisa Razi, MD
• Ready 2 Serve Home Healthcare LLC
• Ready Set Sleep Nurse LLC
• Rebecca Louise Rebstock, LCSW
• Red Sea Homecare Agency LLC
• Millen Redda
• Michael Alan Redding, M.D.
• Archana Reddy, M.D

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.