Individual provider Active NPI

Molly Rochelle Eck, MS, ATC

  • Athletic Trainer
  • Eaton, OH
National Provider Identifier
1992189112
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.004709 Issued in OH
Practice address
600 Hillcrest Dr
Eaton, OH 45320-8501
Phone
(937) 456-1141
Fax
(937) 456-1143
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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 AT.004709 OH Primary

Addresses

Primary practice location

600 Hillcrest Dr
Eaton, OH 45320-8501

Mailing address

7677 Yankee St
Suite 110
Centerville, OH 45459-3475
Phone (937) 401-6400

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

LicenseStateTypeSpecialty
AT.004709OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1992189112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 YANKEE ST",
            "address_2": "SUITE 110",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593475",
            "telephone_number": "937-401-6400",
            "fax_number": "937-401-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HILLCREST DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208501",
            "telephone_number": "937-456-1141",
            "fax_number": "937-456-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "MOLLY",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.004709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

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