Individual provider Active NPI

Rebecca L Talizin, ATC

  • Athletic Trainer
  • Schaumburg, IL
National Provider Identifier
1801163571
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
096001687 Issued in IL
Practice address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone
(847) 885-0078
NPI assigned
Nov 24, 2011
Last updated
Nov 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 096001687 IL Primary

Addresses

Primary practice location

929 W Higgins Rd
Schaumburg, IL 60195-3203

Mailing address

114 S Ashland Ave
Palatine, IL 60074-6304
Phone (847) 400-6006

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

LicenseStateTypeSpecialty
096001687ILMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1322092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1801163571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S ASHLAND AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746304",
            "telephone_number": "847-400-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953203",
            "telephone_number": "847-885-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIZIN",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-24",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096001687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.