Individual provider Active NPI

Rebekah Laine Villarreal, PT DPT

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1891327987
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9736 Issued in AL
Practice address
1615 Windsor Hill CT
Montgomery, AL 36106-0168
Phone
(334) 239-9316
Fax
(334) 239-9319
NPI assigned
Feb 7, 2020
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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 PTH9736 AL Primary

Addresses

Primary practice location

1615 Windsor Hill CT
Montgomery, AL 36106-0168

Mailing address

430 Innovation Dr
Blairsville, PA 15717-8096
Phone (724) 343-4060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003158 AL Practitioner - Physical Therapist in Private Practice 6709215759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Therapy South - Montgomery LLCGroup PAC ID 9234558867, 7 clinicians

Practice addresses (Care Compare)

8117 Old Federal Rd
Montgomery, AL 36117-8009
Phone (334) 380-5920

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aldridge Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Therapy South - Montgomery LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Body Logic Physical Therapy LLC Physical Therapist PastSince Jan 1, 2021 Accepting new patients

Locations

2408 E University Dr
Ste 106
Auburn, AL 36830
Phone (334) 275-4636

323 Greenville Byp
Ste C
Greenville, AL 36037
Phone (334) 665-4368

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

8117 Old Federal Rd
Montgomery, AL 36117
Phone (334) 380-5920

499 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 244-5892

459 E Main St
Prattville, AL 36067
Phone (334) 356-6107

2523 US Highway 80 W
Selma, AL 36701
Phone (334) 875-2960

430 Innovation Dr
Blairsville, PA 15717

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, 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": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1891327987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DR",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WINDSOR HILL CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361060168",
            "telephone_number": "334-239-9316",
            "fax_number": "334-239-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "REBEKAH",
        "middle_name": "LAINE",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.