Active NPI
Rita Marie Acosta, LAT, ATC, EMT
- Athletic Trainer
- Woodbury, MN
National Provider Identifier
1043778228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3737
- Practice address
- 155 Radio Dr
Woodbury, MN 55125-2619 - Phone
- (952) 831-8742
- NPI assigned
- Mar 7, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 989387 | MN | |
| Athletic Trainer | 2255A2300X | 3737 | MN | Primary |
| Athletic Trainer | 2255A2300X | 3182-39 | WI |
Addresses
Primary practice location
155 Radio Dr
Woodbury, MN 55125-2619
Mailing address
155 Radio Dr
Woodbury, MN 55125-2619
Phone (651) 402-6255
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)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989387 | MN | MD | Basic Emergency Medical Technician |
| 3182-39 | WI | MD | Athletic Trainer |
| 3737 | MN | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1043778228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252619",
"telephone_number": "651-402-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252619",
"telephone_number": "952-831-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "RITA",
"middle_name": "MARIE",
"credential": "LAT, ATC, EMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MN",
"license": "989387",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "3737",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "3182-39",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.