Individual provider Active NPI

Rebecca Jean Kehs

  • Athletic Trainer
  • Philadelphia, PA
National Provider Identifier
1114382074
Registry record updated Dec 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT005819 Issued in PA
Practice address
1633 Solly Ave FL 2
Philadelphia, PA 19152-2218
Phone
(267) 342-1808
NPI assigned
Dec 20, 2015
Last updated
Dec 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT005819 PA Primary

Addresses

Primary practice location

1633 Solly Ave FL 2
Philadelphia, PA 19152-2218

Mailing address

1633 Solly Ave FL 2
Philadelphia, PA 19152-2218
Phone (267) 342-1808

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

LicenseStateTypeSpecialty
RT005819PAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450569600000",
    "number": "1114382074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 SOLLY AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522218",
            "telephone_number": "267-342-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 SOLLY AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522218",
            "telephone_number": "267-342-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHS",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-20",
        "last_updated": "2015-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.