Rebecca Cricket Medbery, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010658 Issued in CT

Practice address

10 Higgins Hwy
Suite 12
Mansfield Center, CT 06250-1437

Phone

(860) 456-3772

Fax

(860) 456-4941

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1922545466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 COVENTRY RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501409",
            "telephone_number": "860-377-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY",
            "address_2": "SUITE 12",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-456-3772",
            "fax_number": "860-456-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDBERY",
        "first_name": "REBECCA",
        "middle_name": "CRICKET",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010658",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "001105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Mastersen
• Deborah Lee McGeehan, PHD
• Leah McGennis, LMSW
• McLaughlin & Associates L.L.C.
• Kathy Medbery, LPC
• Elena Mercier
• Becky Marie Mineau, RN
• Joseph Mongillo, LPC-A
• Rebecca Moore, MA, LPC
• Shannon Marie Morgan, CNM

• Physical Therapist in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.