Active NPI
Rebecca Chamberlin, ATC, AT
- Athletic Trainer
- Centerville, OH
National Provider Identifier
1760893564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.003081
- Practice address
- 2400 Miami Valley Dr
Centerville, OH 45459-4774 - Phone
- (937) 438-7755
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | AT.003081 | OH | Primary |
Addresses
Primary practice location
2400 Miami Valley Dr
Centerville, OH 45459-4774
Mailing address
1316 Merribrook CT
Fairborn, OH 45324-5817
Phone (937) 768-1169
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 |
|---|---|---|---|
| AT.003081 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1760893564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 MERRIBROOK CT",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453245817",
"telephone_number": "937-768-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MIAMI VALLEY DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594774",
"telephone_number": "937-438-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLIN",
"first_name": "REBECCA",
"credential": "ATC, AT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.003081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.