Jenna Rehder, ACSM EP-C, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

22149 E Ocotillo Rd
Queen Creek, AZ 85142-7750

Phone

(480) 987-5973

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By 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

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1467163907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W PRINCESS TREE AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22149 E OCOTILLO RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427750",
            "telephone_number": "480-987-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHDER",
        "first_name": "JENNA",
        "credential": "ACSM EP-C, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.