Active NPI
Rebecca Lynne Medin, PT
- Physical Therapist
- Pueblo, CO
National Provider Identifier
1831965086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0013300
- Practice address
- 760 E Bedford Dr
Pueblo, CO 81007-6214 - Phone
- (303) 803-5869
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 0013300 | CO | Primary |
Addresses
Primary practice location
760 E Bedford Dr
Pueblo, CO 81007-6214
Mailing address
760 E Bedford Dr
Pueblo, CO 81007-6214
Phone (303) 803-5869
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0013300 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1831965086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 E BEDFORD DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810076214",
"telephone_number": "303-803-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 E BEDFORD DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810076214",
"telephone_number": "303-803-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDIN",
"first_name": "REBECCA",
"middle_name": "LYNNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0013300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.