Active NPI
Rachel Korczynski
- Athletic Trainer
- Essex, MD
National Provider Identifier
1487112447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00650
- Practice address
- 1706 Old Eastern Ave
Essex, MD 21221-2203 - Phone
- (410) 686-1023
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A00650 | MD | Primary |
Addresses
Primary practice location
1706 Old Eastern Ave
Essex, MD 21221-2203
Mailing address
15 Gunview Farm CT
Perry Hall, MD 21128-9707
Phone (443) 392-5722
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
| License | State | Type | Specialty |
|---|---|---|---|
| A00650 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1487112447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GUNVIEW FARM CT",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289707",
"telephone_number": "443-392-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 OLD EASTERN AVE",
"city": "ESSEX",
"state": "MD",
"postal_code": "212212203",
"telephone_number": "410-686-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORCZYNSKI",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.