Individual provider Active NPI

Stephenie Meixing Yi Rexroad

  • Athletic Trainer
  • Charleston, SC
National Provider Identifier
1225781750
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1494 Issued in SC
Practice address
35 Crosscreek Dr Apt B2
Charleston, SC 29412-2509
Phone
(304) 203-9607
NPI assigned
Feb 3, 2022
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 1494 SC Primary

Addresses

Primary practice location

35 Crosscreek Dr Apt B2
Charleston, SC 29412-2509

Mailing address

2093 Henry Tecklenburg Dr Ste 200E
Charleston, SC 29414-5742
Phone (843) 402-3114

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

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1225781750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR STE 200E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145742",
            "telephone_number": "843-402-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CROSSCREEK DR APT B2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122509",
            "telephone_number": "304-203-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXROAD",
        "first_name": "STEPHENIE",
        "middle_name": "MEIXING YI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.