Rebecca J. Taylor, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012647A Issued in IN

Practice address

2485 E Wabash St Ste 100
Frankfort, IN 46041-9400

Phone

(765) 659-7400

Fax

(765) 659-7408

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rebecca J. Freeman Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Witham Memorial Hospital

  • Family Medicine Physician
  • Lebanon, IN
  • NPI 1083750293
  Medicare reassignment

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1922525179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E WABASH ST STE 100",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460419400",
            "telephone_number": "765-659-7400",
            "fax_number": "765-659-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 N Lebanon St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460521476",
            "country_code": "US",
            "telephone_number": "765-485-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "REBECCA",
        "middle_name": "J.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012647A",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05012647A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015397",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FREEMAN",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St. Vincent Physician Network
• St. Vincent Physician Network, LLC
• Lisa Lynn Stafford, OD
• Kimberly Susanne Stevens, P.T.
• India Tapplar, FNP-C
• Kristi Lynn Tesmer, ED.S.
• Stephen Daniel Tharp, MD
• The Eye Center Group LLC
• Mikayda Thornton
• Sarah Threlkeld Berkopes, OT

• Physical Therapist in Frankfort, IN
• Providers in Frankfort, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.