Active NPI
Rebecca Lee Robinson, LPTA
- Physical Therapy Assistant
- Tyler, TX
National Provider Identifier
1902388465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2081723
- Practice address
- 2450 E 5TH St
Tyler, TX 75701-3525 - Phone
- (903) 592-6745
- Fax
- (903) 592-1088
- NPI assigned
- Aug 31, 2018
- Last updated
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2081723 | TX | Primary |
Addresses
Primary practice location
2450 E 5TH St
Tyler, TX 75701-3525
Mailing address
17521 US Highway 69 S Ste 120
Tyler, TX 75703-5596
Phone (903) 839-3600
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 |
|---|---|---|---|
| 2081723 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Pro LP | Past | Accepting new patients | |
| Baromed Hbo LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Coppell, TX
- NPI 1366221251
-
- Skilled Nursing Facility
- Tyler, TX
- NPI 1104249317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1902388465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17521 US HIGHWAY 69 S STE 120",
"city": "TYLER",
"state": "TX",
"postal_code": "757035596",
"telephone_number": "903-839-3600",
"fax_number": "903-839-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 E 5TH ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757013525",
"telephone_number": "903-592-6745",
"fax_number": "903-592-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "REBECCA",
"middle_name": "LEE",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2081723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.