Active NPI
Rebecca Wittkopp
- Physical Therapist
- Groton, CT
National Provider Identifier
1992124465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010081
- Practice address
- 1145 Poquonnock Rd
Groton, CT 06340-4620 - Phone
- (860) 446-9960
- NPI assigned
- Apr 14, 2014
- 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 | 010081 | CT | Primary |
Addresses
Primary practice location
1145 Poquonnock Rd
Groton, CT 06340-4620
Mailing address
105 Briar LN
Norwich, CT 06360-7415
Phone (920) 948-1714
Other names 1
- Rebecca Pollard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Spring Hill, TN 37174
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27523 | MD | MD | Clinical Social Worker |
| 010081 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services TN LLC | Physical Therapist | Current | Accepting new patients |
Locations
3056 Miles Johnson Pkwy
Spring Hill, TN 37174
Phone (931) 451-0009
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.
-
- Physical Therapist
- Spring Hill, TN
- NPI 1710406491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477699200000",
"number": "1992124465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BRIAR LN",
"city": "NORWICH",
"state": "CT",
"postal_code": "063607415",
"telephone_number": "920-948-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 POQUONNOCK RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063404620",
"telephone_number": "860-446-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTKOPP",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2016-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "010081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "POLLARD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2016; 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.