Active NPI
Rebecca S. Dubay, PT
- Physical Therapist
- North Berwick, ME
National Provider Identifier
1811910771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2960
- Practice address
- 73 Elm St
North Berwick, ME 03906-6724 - Phone
- (207) 676-9596
- Fax
- (207) 676-9707
- NPI assigned
- Jul 25, 2006
- Last updated
- Apr 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2960 | ME | Primary |
Addresses
Primary practice location
73 Elm St
North Berwick, ME 03906-6724
Mailing address
73 Elm St
PO Box 611
North Berwick, ME 03906-6724
Phone (207) 676-9596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121170036 | Medicaid | ME |
Other names 1
- Ms. Rebecca S Rand
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928001647 | ME | Practitioner - Physical Therapist in Private Practice | 1153324074 | Practice locations: North Berwick, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of New England, College of Osteo Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
73 Elm St
Doughty Falls Physical Therapy
North Berwick, ME 03906-6724
Phone (207) 676-9596
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2960 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doughty Falls Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- North Berwick, ME
- NPI 1750814018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493510400000",
"number": "1811910771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 ELM ST",
"address_2": "PO BOX 611",
"city": "NORTH BERWICK",
"state": "ME",
"postal_code": "039066724",
"telephone_number": "207-676-9596",
"fax_number": "207-676-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 ELM ST",
"city": "NORTH BERWICK",
"state": "ME",
"postal_code": "039066724",
"telephone_number": "207-676-9596",
"fax_number": "207-676-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBAY",
"first_name": "REBECCA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2017-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121170036",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "RAND",
"middle_name": "S",
"prefix": "MS.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Berwick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.