Justine Rebecca Stevenson, MS ATC CKTP

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

8906860 Issued in NY

Practice address

441 E Fordham Rd
Bronx, NY 10458-5149

Phone

(718) 817-4699

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1700391174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 GLENBROOK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585149",
            "telephone_number": "718-817-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JUSTINE",
        "middle_name": "REBECCA",
        "credential": "MS ATC CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "8906860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Stevens
• Megan Amanda Stevens, PA-C
• Paul E. Stevens, L.C.S.W.
• Sheryl Jen Stevens, M.S. CCC-SLP
• Alfreda J Stevenson
• Kaimeesa E Stevenson
• Marcel Stevenson, CPNP
• Vincent Stevenson
• Yolanda Evette Stevenson, RN
• Steward Recovery Services

• Athletic Trainer in Bronx, NY
• Providers in Bronx, 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 Dec 7, 2017; 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.