Rebekah Gardiner, MS, AT, ATC, LMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1600 Issued in AZ

Practice address

18864 E Germann Rd
Queen Creek, AZ 85142-7338

Phone

(815) 701-8124

NPI assigned

Jun 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1831751882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S RECKER RD APT 2148",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960005",
            "telephone_number": "815-701-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18864 E GERMANN RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427338",
            "telephone_number": "815-701-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "REBEKAH",
        "credential": "MS, AT, ATC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgardiner@bfcsaz.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "18864 E Germann Rd",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851427338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anton L Gant
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• Aleida Garcia
• Garden Enclave Assisted Living Home
• Jeremy Gardner
• Vanessa Gardner
• Breanna Garner Eisler, LMT
• Rafe Garofalo, OD
• Jennifer Garrick, NP

• Athletic Trainer in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; 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.