Individual provider Active NPI

Rebecca McKenna, PT, DPT

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1831525377
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01184400 Issued in NJ
Practice address
408 Chris Gaupp Dr Ste 200
Galloway, NJ 08205-4491
Phone
(609) 652-3774
Fax
(609) 652-3776
NPI assigned
Sep 16, 2013
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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 40QA01184400 NJ Primary

Addresses

Primary practice location

408 Chris Gaupp Dr Ste 200
Galloway, NJ 08205-4491

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 677-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000294 NJ Practitioner - Physical Therapist in Private Practice 9335374750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 English Creek Ave
Building 1300
Egg Harbor Township, NJ 08234-5598
Phone (800) 321-9999

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01184400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince May 8, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Jul 2, 2023 Accepting new patients
Rehabclinics SPT Inc CurrentSince Jul 2, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Jul 2, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince May 8, 2023 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

24 S South Carolina Ave
Atlantic City, NJ 08401
Phone (609) 345-6000

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

685 Route 70
#4B
Lakehurst, NJ 08733
Phone (609) 978-1001

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 9

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1831525377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CHRIS GAUPP DR STE 200",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054491",
            "telephone_number": "609-652-3774",
            "fax_number": "609-652-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01184400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.