Individual provider Active NPI

Rebecca L Cheema, PTA ATC

  • Physical Therapy Assistant
  • San Mateo, CA
National Provider Identifier
1821734625
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
50457 Issued in CA
Practice address
2121 S El Camino Real Ste B200
San Mateo, CA 94403-1857
Phone
(650) 425-9672
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 821715 CA
Physical Therapy Assistant 225200000X 50457 CA Primary

Addresses

Primary practice location

2121 S El Camino Real Ste B200
San Mateo, CA 94403-1857

Mailing address

801 N El Camino Real Apt 203
San Mateo, CA 94401-3776
Phone (650) 425-9672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50457CAMDOral and Maxillofacial Surgery (Dentist)
821715CAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1821734625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N EL CAMINO REAL APT 203",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013776",
            "telephone_number": "650-425-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S EL CAMINO REAL STE B200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031857",
            "telephone_number": "650-425-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "PTA   ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "821715",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.