Individual provider Active NPI

Rebecca D Nelson, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1750758207
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61226 Issued in OR
Practice address
2500 S Power Rd Ste 123
Mesa, AZ 85209-6688
Phone
(480) 218-1344
Fax
(480) 218-1356
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 61226 OR Primary

Addresses

Primary practice location

2500 S Power Rd Ste 123
Mesa, AZ 85209-6688

Mailing address

2500 S Power Rd Ste 123
Mesa, AZ 85209-6688
Phone (480) 218-1344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181116002683 CA Practitioner - Physical Therapist in Private Practice 7810297710 Reassigns benefits to 1 organization
I20201116002922 AZ Practitioner - Physical Therapist in Private Practice 7810297710 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
Moore Physical Therapy PLCGroup PAC ID 6103815212, 13 clinicians

Practice addresses (Care Compare)

2500 S Power Rd
Suite 123
Mesa, AZ 85209-6688
Phone (480) 218-1344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61226ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Physical Therapy PLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Omnis Omnia Inc. PastSince Feb 4, 2015 Accepting new patients
Santa Rosa Physical Therapy Physical Therapist Past Accepting new patients

Locations

6021 S Kings Ranch Rd
Ste 5
Gold Canyon, AZ 85118
Phone (480) 218-1344

2500 S Power Rd
Ste 123
Mesa, AZ 85209
Phone (480) 218-1344

2153 E Baseline Rd
Tempe, AZ 85283
Phone (480) 833-7879

2153 E Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (480) 833-7879

Organizations & group practices 4

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1750758207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096688",
            "telephone_number": "480-218-1344",
            "fax_number": "480-218-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096688",
            "telephone_number": "480-218-1344",
            "fax_number": "480-218-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.