Individual provider Active NPI

Rachel Dabul, PT, DPT

  • Physical Therapist
  • Sterling, CO
National Provider Identifier
1720515265
Registry record updated Apr 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0013391 Issued in CO
Practice address
1402 S 3Rd Ave
Sterling, CO 80751-4650
Phone
(970) 526-6038
Fax
(970) 526-6054
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2023

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 PTL.0013391 CO Primary

Addresses

Primary practice location

1402 S 3Rd Ave
Sterling, CO 80751-4650

Mailing address

1402 S 3Rd Ave
Sterling, CO 80751-4650
Phone (970) 526-6038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513000136 CO Practitioner - Physical Therapist in Private Practice 8527326107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilient Physiotherapy and Performance, PLLCGroup PAC ID 8022408855, 2 clinicians

Practice addresses (Care Compare)

1402 S 3Rd Ave
Sterling, CO 80751-4650
Phone (970) 526-6038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Physiotherapy and Performance, LLC Physical Therapist CurrentSince May 2, 2022 Accepting new patients

Locations

1402 S 3rd Ave
Sterling, CO 80751
Phone (970) 526-6038

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1720515265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S 3RD AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514650",
            "telephone_number": "970-526-6038",
            "fax_number": "970-526-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S 3RD AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514650",
            "telephone_number": "970-526-6038",
            "fax_number": "970-526-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABUL",
        "first_name": "RACHEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; 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.