Rebecca Coyle Berthold, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001321 Issued in VA

Practice address

290 Massie Road
Charlottesville, VA 22904

Phone

(434) 982-5450

NPI assigned

Mar 6, 2009

Last updated

Jan 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1316187123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 BUTE ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211586",
            "telephone_number": "904-631-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MASSIE ROAD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22904",
            "telephone_number": "434-982-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOLD",
        "first_name": "REBECCA",
        "middle_name": "COYLE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Natali Berrigan
• Michael Berrigan II
• Jose Javier Berrios-Mendez
• Debra Berry
• Leigh Ann Berry, PH.D.
• Edward Hiltner Bertram III, MD
• Ryan Christopher Myers Best, PHD
• Carla M Betancourt
• Zablon K Bett, MD
• Better Choice LLC (Senior Helpers)

• Athletic Trainer in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.