Individual provider Active NPI

Rebecca L Mokris, D.ED., LAT

  • Athletic Trainer
  • Erie, PA
National Provider Identifier
1831270776
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT003516 Issued in PA
Practice address
109 University SQ
Morosky College of Health Professions and Colleges M164
Erie, PA 16541-0001
Phone
(814) 434-7933
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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 RT003516 PA Primary

Addresses

Primary practice location

109 University SQ
Morosky College of Health Professions and Colleges M164
Erie, PA 16541-0001

Mailing address

503 W Arlington Rd
Erie, PA 16509-2205
Phone (814) 434-7933

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
Credentials
Doctor of Education

State licenses

LicenseStateTypeSpecialty
RT003516PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1831270776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W ARLINGTON RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092205",
            "telephone_number": "814-434-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 UNIVERSITY SQ",
            "address_2": "MOROSKY COLLEGE OF HEALTH PROFESSIONS AND COLLEGES M164",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165410001",
            "telephone_number": "814-434-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKRIS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "D.ED., LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.