Individual provider Active NPI

Rebecca Maria Dulis, PT, DPT, CSCS

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1902510282
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32790 Issued in AZ
Practice address
2051 S Dobson Rd Ste 1
Mesa, AZ 85202-6433
Phone
(480) 573-0528
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 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 32790 AZ Primary

Addresses

Primary practice location

2051 S Dobson Rd Ste 1
Mesa, AZ 85202-6433

Mailing address

3370 W Golden LN
Chandler, AZ 85226-1442
Phone (480) 208-0884

Other names 1

  • Rebecca Maria Benzer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203002313 AZ Practitioner - Physical Therapist in Private Practice 7012389844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahwatukee Physical Therapy IncGroup PAC ID 9234399742, 2 clinicians

Practice addresses (Care Compare)

4425 E Agave Rd
Suite 100
Phoenix, AZ 85044-0620
Phone (480) 785-1043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahwatukee Physical Therapy Inc Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Bodycentral Physical Therapy PC CurrentSince Jan 16, 2023 Accepting new patients
Bodycentral Physical Therapy P C CurrentSince Jan 16, 2023 Accepting new patients

Locations

2051 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 573-0528

4425 E Agave Rd
Ste 100
Phoenix, AZ 85044
Phone (480) 785-1043

1231 W Warner Rd
Ste 101
Tempe, AZ 85284
Phone (623) 250-3223

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1902510282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 W GOLDEN LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261442",
            "telephone_number": "480-208-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 S DOBSON RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026433",
            "telephone_number": "480-573-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULIS",
        "first_name": "REBECCA",
        "middle_name": "MARIA",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BENZER",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.