Rebecca K. Reeder

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004624 Issued in NY

Practice address

606 Thayer Rd
West Point, NY 10996-1700

Phone

(845) 925-2559

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1447908850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEADOWVIEW DR",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549061",
            "telephone_number": "570-692-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 THAYER RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961700",
            "telephone_number": "845-925-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Meadowview Dr",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177549061",
            "country_code": "US",
            "telephone_number": "570-692-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDER",
        "first_name": "REBECCA",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "004624",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulu Elia Porter, DSW, LCSW, MFT, BCD
• Margaret Marie Prasanna, FNP
• Allyson E. Pritchard, PT, SCS, ATC
• Dana W. Putnam, M.ED., ATC
• Milton Douglas Quigless Jr., M.D.
• Todd Allen Reeder, PHARM.D.
• Herbert Reinhard, ATC
• Carla Rhodes
• Ricky Joe Rodgers, D.D.S.
• Steven John Rogers Jr., M.D.

• Athletic Trainer in West Point, NY
• Providers in West Point, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.