Rebecca Paige Demario, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

002533-1 Issued in NY

Practice address

31 Emory Ave
Cazenovia, NY 13035-1043

Phone

(315) 436-4465

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1609277425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 HAMILTON RD",
            "city": "JORDAN",
            "state": "NY",
            "postal_code": "130809760",
            "telephone_number": "315-689-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 EMORY AVE",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130351043",
            "telephone_number": "315-436-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARIO",
        "first_name": "REBECCA",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002533-1",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Cherie Cole
• Community Memorial Hospital, Inc
• Tylette Pleschelle Cull, L.P.N.
• Joan Faye Cummings, LCSW-R
• Nora Ferraldo Davis, LCSW
• Deborah Donaghue
• Doscher Family Health NP PC
• Hannah Doscher, FNP-C
• Melissa Kaye Durfee, L.P.N.
• Ehsoc

• Athletic Trainer in Cazenovia, NY
• Providers in Cazenovia, 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 27, 2021; 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.