Active NPI
Michele Rebozzi
- Physical Therapist
- San Dimas, CA
National Provider Identifier
1942693783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42396
- Practice address
- 1335 Cypress St
Suite #100
San Dimas, CA 91773-3537 - Phone
- (909) 305-1383
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42396 | CA | Primary |
Addresses
Primary practice location
1335 Cypress St
Suite #100
San Dimas, CA 91773-3537
Mailing address
PO Box 99
San Dimas, CA 91773-0099
Phone (909) 305-1383
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42396 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1942693783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917730099",
"telephone_number": "909-305-1383",
"fax_number": "909-305-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 CYPRESS ST",
"address_2": "SUITE #100",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733537",
"telephone_number": "909-305-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBOZZI",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.