Rebecca L Stavis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2097 Issued in NV

Practice address

889 Alder Ave
Suite 105
Incline Village, NV 89451-8203

Phone

(775) 831-6600

Fax

(775) 831-6697

NPI assigned

Jun 13, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jane K. O'Brien, Inc.

  dba North Tahoe Physical Therapy

  • Physical Therapist
  • Incline Village, NV
  • NPI 1922016419
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1740484500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 ALDER AVE",
            "address_2": "SUITE 105",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518203",
            "telephone_number": "775-831-6600",
            "fax_number": "775-831-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVIS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "PT2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Scott Shoemaker, DC
• Sierra Medical, LLC
• Vincenzo Sinatra, DC
• Pamela Louise Skeie, MFT MARRIAGE & FAMIL
• Jonathan Smith, OD
• Michael James Steiner, MS, ATC, EMS INSTRUC
• Anna Struemph
• Krispin N Sullivan, MS, CN, RN
• Norman Sussman, D.C.
• T Medical

• Physical Therapist in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.