Provider Demographics
NPI:1235707100
Name:PYLE, REBECCA (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:PYLE
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 412066
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2066
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:316-760-8306
Practice Address - Street 1:1738 CELANESE RD STE 102
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1731
Practice Address - Country:US
Practice Address - Phone:803-670-3067
Practice Address - Fax:803-670-3068
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist