Active NPI
Rebecca Canetti, ATC
- Athletic Trainer
- Port Chester, NY
National Provider Identifier
1558736330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000010077
- Practice address
- 65 Cottage St
Apt 6D
Port Chester, NY 10573-5141 - Phone
- (717) 304-2826
- NPI assigned
- Dec 5, 2015
- 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 | 2000010077 | NY | Primary |
Addresses
Primary practice location
65 Cottage St
Apt 6D
Port Chester, NY 10573-5141
Mailing address
65 Cottage St
Apt 6D
Port Chester, NY 10573-5141
Phone (717) 304-2826
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 |
|---|---|---|---|
| 2000010077 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449273600000",
"number": "1558736330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 COTTAGE ST",
"address_2": "APT 6D",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105735141",
"telephone_number": "717-304-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 COTTAGE ST",
"address_2": "APT 6D",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105735141",
"telephone_number": "717-304-2826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANETTI",
"first_name": "REBECCA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-05",
"last_updated": "2015-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "2000010077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.