Kevin Rapps, A.T.C

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4144 Issued in FL

Practice address

400 SW 258TH St
Newberry, FL 32669-4112

Phone

(352) 472-1101

NPI assigned

Oct 26, 2014

Last updated

Jul 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1414281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1972908564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 258TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326694112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 258TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326694112",
            "telephone_number": "352-472-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPS",
        "first_name": "KEVIN",
        "credential": "A.T.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-26",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002333A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.A.T",
            "identifier": "36002333A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF ATHLETIC TRAINING",
            "identifier": "AL 4144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Newberry, FL
• Providers in Newberry, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.