Individual provider Active NPI

Rebecca Lynn Tersigni, A.T.C.

  • Athletic Trainer
  • Stow, OH
National Provider Identifier
1114519279
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT000803 Issued in OH
Practice address
2042 Crestdale Dr
Stow, OH 44224-1818
Phone
(330) 352-8405
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 AT000803 OH Primary

Addresses

Primary practice location

2042 Crestdale Dr
Stow, OH 44224-1818

Mailing address

2042 Crestdale Dr
Stow, OH 44224-1818
Phone (330) 352-8405

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
AT000803OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1114519279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 CRESTDALE DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241818",
            "telephone_number": "330-352-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 CRESTDALE DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241818",
            "telephone_number": "330-352-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERSIGNI",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT000803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.