Individual provider Active NPI

Rebecca R O'Neill, DPT

  • Physical Therapist
  • Sparta, TN
National Provider Identifier
1780752667
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14083 Issued in TN
Practice address
550 N Spring St
Sparta, TN 38583-1330
Phone
(931) 837-2221
NPI assigned
Dec 1, 2006
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 14083 TN Primary

Addresses

Primary practice location

550 N Spring St
Sparta, TN 38583-1330

Mailing address

550 N Spring St
Sparta, TN 38583-1330
Phone (931) 837-2221

Other identifiers 3

IdentifierTypeStateIssuer
1014220610001MedicaidPA
1771606OtherPAHIGHMARK
268312OtherPAHEALTH AMERICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306000872 TN Practitioner - Physical Therapist in Private Practice 2365637923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Therapy and Balance Center, LLCGroup PAC ID 9739303462, 3 clinicians

Practice addresses (Care Compare)

675 S Jefferson Ave
Suite C
Cookeville, TN 38501-0949
Phone (931) 528-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14083TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Physical Therapy Services, LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Larry H. Burks Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Cumberland Physical Therapy and Rehabilitation Current Accepting new patients
Tennessee Therapy & Balance Center, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1140 Perimeter Park Dr
Cookeville, TN 38501
Phone (615) 526-2345

675 S Jefferson Ave
Ste C
Cookeville, TN 38501
Phone (931) 528-8822

550 N Spring St
Sparta, TN 38583
Phone (931) 836-3446

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1780752667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831330",
            "telephone_number": "931-837-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831330",
            "telephone_number": "931-837-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "REBECCA",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014220610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1771606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "268312",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.