Active NPI
Rachel Emily Kubinski, DPT
- Physical Therapist
- Newark, DE
National Provider Identifier
1841456670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J10002372
- Practice address
- 4923 Ogletown Stanton Rd
Suite 220
Newark, DE 19713-2081 - Phone
- (302) 351-0246
- NPI assigned
- Jul 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10002372 | DE | Primary |
| Physical Therapist | 225100000X | PT021180 | PA |
Addresses
Primary practice location
4923 Ogletown Stanton Rd
Suite 220
Newark, DE 19713-2081
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841456670 | Medicaid | DE | |
| 1841456670 | Other | CHAMPUS | |
| 11875418 | Other | CAQH | |
| 3534763000 | Other | IBC |
Other names 1
- Rachel Emily Beck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10002372 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proaxis Therapy NC, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
| Proaxis Therapy SC, LLC | Physical Therapist | Past | Accepting new patients |
Locations
33202 Collection Ctr Dr
Chicago, IL 60693
303 Park St
Belmont, NC 28012
Phone (704) 826-9980
205 Sage Rd
Ste 203
Chapel Hill, NC 27514
Phone (919) 918-4171
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Belmont, NC
- NPI 1275972135
-
- Physical Therapist
- Myrtle Beach, SC
- NPI 1881967024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1841456670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 OGLETOWN STANTON RD",
"address_2": "SUITE 220",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132081",
"telephone_number": "302-351-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBINSKI",
"first_name": "RACHEL",
"middle_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10002372",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021180",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841456670",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "1841456670",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11875418",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "3534763000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "BECK",
"middle_name": "EMILY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.