Active NPI
Rebecca M Elmshauser, ATL, ATC
- Athletic Trainer
- Chandler, AZ
National Provider Identifier
1083854590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0422
- Practice address
- 3200 N Dobson Rd
Suite F5
Chandler, AZ 85224-9601 - Phone
- (480) 807-6500
- Fax
- (866) 835-7591
- NPI assigned
- Feb 23, 2009
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0422 | AZ | Primary |
Addresses
Primary practice location
3200 N Dobson Rd
Suite F5
Chandler, AZ 85224-9601
Mailing address
PO Box 10730
Tempe, AZ 85284-0013
Phone (480) 807-6500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0422 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1083854590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10730",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852840013",
"telephone_number": "480-807-6500",
"fax_number": "877-835-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N DOBSON RD",
"address_2": "SUITE F5",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852249601",
"telephone_number": "480-807-6500",
"fax_number": "866-835-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMSHAUSER",
"first_name": "REBECCA",
"middle_name": "M",
"credential": "ATL, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.