Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rebecca Marie Pudvah, PT, CSCS, EMTB

Individual provider Physical Therapist · NPI 1871990051

Rebecca Marie Pudvah, PT, CSCS, EMTB is a Physical Therapist in Private Practice in Beverly, Massachusetts. Qualified in 2014, 12 years ago. Practices with Connecticut Luna Care Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona and Massachusetts.

Years since qualifying
12
Licensed in
AZ, MA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

13 Fern St
Beverly, MA 01915-1570
Phone: (978) 578-1542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 21410 (MA)
Physical Therapist Taxonomy 225100000X · Licence 11161 (AZ)

Record details

NPI number1871990051
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , CSCS , EMTB
Sole proprietorYes
NPI enumeratedDecember 3, 2014
Last updated in NPPESNovember 13, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Connecticut Luna Care Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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