Individual provider Active NPI

Rebecca Kate Swope, PT, MSPT

  • Physical Therapist
  • Lebanon, NH
National Provider Identifier
1922261502
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3608 Issued in NH
Practice address
112 Etna Rd
Lebanon, NH 03766-1454
Phone
(603) 643-7788
Fax
(603) 643-0022
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3608 NH Primary
Physical Therapist 225100000X 070015610 IL

Addresses

Primary practice location

112 Etna Rd
Lebanon, NH 03766-1454

Mailing address

112 Etna Rd
Lebanon, NH 03766-1454
Phone (603) 643-7788

Other practice location 1

151 Route 10 N
Grantham, NH 03753-3617
Phone (603) 643-7788

Other identifiers 2

IdentifierTypeStateIssuer
1018925MedicaidVT
30398798MedicaidNH

Other names 1

  • Rebecca K Moran Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000334 NH Practitioner - Physical Therapist in Private Practice 4082774476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cioffredi and Associates Physical Therapy LLCGroup PAC ID 0648184655, 14 clinicians

Practice addresses (Care Compare)

112 Etna Rd
Lebanon, NH 03766-1454
Phone (603) 643-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015610ILMDPhysical Therapist
3608NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cioffredi & Associates Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2011 Accepting new patients

Locations

151 Route 10 N
Grantham, NH 03753
Phone (603) 643-7788

112 Etna Rd
Lebanon, NH 03766
Phone (603) 643-7788

Organizations & group practices 1

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922261502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661454",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661454",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Route 10 N",
            "address_purpose": "LOCATION",
            "city": "Grantham",
            "state": "NH",
            "postal_code": "037533617",
            "country_code": "US",
            "telephone_number": "603-643-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWOPE",
        "first_name": "REBECCA",
        "middle_name": "KATE",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3608",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018925",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30398798",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MORAN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.