Rebecca Souza, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4256 Issued in CT

Practice address

30 Avon Meadow LN
Avon, CT 06001-3745

Phone

(860) 284-9779

NPI assigned

Nov 27, 2019

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 Altman Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Luna Care Physical Therapy LLCGroup PAC ID 1456744762, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Connecticut Luna Care Physical Therapy LLC

  • Physical Therapist
  • Westport, CT
  • NPI 1548874035
  Medicare reassignment Care Compare group NPD
• Fox Rehab PT CT, LLC

  • Physical Therapist
  • Wilton, CT
  • NPI 1245584234
  Medicare reassignment NPD
• Creative Development, LLC

  • Specialist
  • Avon, CT
  • NPI 1295928075
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1740827575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013745",
            "telephone_number": "860-284-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013745",
            "telephone_number": "860-284-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "REBECCA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "4256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ALTMAN",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Soderquist, DPT
• Solinsky Eyecare LLC
• Gregory J Solof, D.D.S.
• Abena Somuah, PMHNP-BC
• Narra Songco, APRN
• Speakology LLC
• Aimee Renee St Thomas, MS CCC-SLP
• Matthew Francis St Thomas, ATC
• Cindy Lee St. Onge, M.D.
• Jennifer Judy Stagg, ND

• Physical Therapist in Avon, CT
• Providers in Avon, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.