Active NPI
Rochelle Blakely
- Athletic Trainer
- Mechanicsburg, PA
National Provider Identifier
1588018691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT006002
- Practice address
- 5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300 - Phone
- (717) 790-9920
- NPI assigned
- Apr 15, 2016
- 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 | RT006002 | PA | Primary |
Addresses
Primary practice location
5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300
Mailing address
5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300
Phone (717) 790-9920
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 |
|---|---|---|---|
| RT006002 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1588018691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 E TRINDLE RD",
"address_2": "SUITE 200",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170503300",
"telephone_number": "717-790-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 E TRINDLE RD",
"address_2": "SUITE 200",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170503300",
"telephone_number": "717-790-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKELY",
"first_name": "ROCHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT006002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.