Redita Rahman

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

R550734004937 Issued in MI

Practice address

1175 W Long Lake Rd
Troy, MI 48098-4438

Phone

(248) 840-8234

NPI assigned

May 17, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1871284166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33262 LINSDALE CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106032",
            "telephone_number": "586-457-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 W LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984438",
            "telephone_number": "248-840-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "REDITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "R550734004937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumitra N Raam, M.D.
• Bethany Rackley
• Radiate Counseling, PLLC
• Allison Radtke
• Syed Munir Rahat, RPT
• Arjun Rai, DC
• Kristopher Rai
• Sandra Anwar Raikany, OD
• Julie Raikes, CCC-SLP
• Abby Railling, M.ED., BCBA

• Athletic Trainer in Troy, MI
• Providers in Troy, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.