Healthcare Provider Details

I. General information

NPI: 1124550504
Provider Name (Legal Business Name): REBECCA CAINE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 07/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST PHYSICAL MEDICINE AND REHABILITATION
CINCINNATI OH
45219
US

IV. Provider business mailing address

231 ALBERT SABIN WAY
CINCINNATI OH
45267-0769
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-2919
  • Fax: 513-558-4458
Mailing address:
  • Phone: 513-558-2919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number57.029557
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: