Active NPI
Rebecca Ann Ensley, MS, ATC, LAT
- Athletic Trainer
- Midlothian, TX
National Provider Identifier
1912440603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT4027
- Practice address
- 923 S 9TH St
Midlothian, TX 76065-3636 - Phone
- (972) 670-6875
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4027 | TX | Primary |
Addresses
Primary practice location
923 S 9TH St
Midlothian, TX 76065-3636
Mailing address
350 SH 360
Apt 1209
Mansfield, TX 76063-9041
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4027 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1912440603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SH 360",
"address_2": "APT 1209",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 S 9TH ST",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760653636",
"telephone_number": "972-670-6875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSLEY",
"first_name": "REBECCA",
"middle_name": "ANN",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.