Rebecca Beth Pritikin, M.ED, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2 Gettysburg Dr Apt 1
Jacksonville, IL 62650-3709

Phone

(217) 473-1909

NPI assigned

Aug 31, 2006

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 Education

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780796706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GETTYSBURG DR APT 1",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503709",
            "telephone_number": "217-473-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GETTYSBURG DR APT 1",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503709",
            "telephone_number": "217-473-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITIKIN",
        "first_name": "REBECCA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "M.ED, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.