NPIMap

Individual provider Active NPI

Rebecca Tilson Epperson, DPT

  • Pediatric Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1922368554
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
14815 Issued in NC
Practice address
410 New Bridge St
Suite 10a
Jacksonville, NC 28540-4739
Phone
(910) 347-2212
Fax
(910) 378-1747
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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 3383 HI
Pediatric Physical Therapist 2251P0200X 14815 NC Primary

Addresses

Primary practice location

410 New Bridge St
Suite 10a
Jacksonville, NC 28540-4739

Mailing address

410 New Bridge St
Suite 10a
Jacksonville, NC 28540-4739
Phone (910) 347-2212

Other names 1

  • Dr. Rebecca E. Tilson Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3383HIMDPhysical Therapist
14815NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Step Therapy Inc Physical Therapist Past Accepting new patients
J.Z. Mann Pediatric Therapy, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1922368554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NEW BRIDGE ST",
            "address_2": "SUITE 10A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404739",
            "telephone_number": "910-347-2212",
            "fax_number": "910-378-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NEW BRIDGE ST",
            "address_2": "SUITE 10A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404739",
            "telephone_number": "910-347-2212",
            "fax_number": "910-378-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "REBECCA",
        "middle_name": "TILSON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3383",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "14815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TILSON",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.