REBECCA PARK (NPI# 1619391778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619391778 |
| Entity Type | Individual |
| Full Name | REBECCA PARK |
| Credential | ATC |
| Practice Address |
2125 S Floyd St Louisville KY 40292 |
| Practice Telephone | 5028522498 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1030 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1396858452 | Rebecca M Park | Occupational Therapist | 3400 W 66th St, Suite 450, Edina, MN 55435-2111 | 2006-08-15 |
| Street Address |
2125 S FLOYD ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912372715 | Patrick Richards | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40208-2752 | 2015-12-04 |
| 1336527472 | Sara Rock | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40208-2752 | 2015-05-08 |
| 1255718961 | Hannah Brinza | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40208-2752 | 2015-05-01 |
| 1922495902 | Steven Hoelscher | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40208-2752 | 2015-04-17 |
| 1053707125 | Tiff Haub | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40208-2752 | 2015-04-15 |
| 1700272523 | Dani Klein | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40208-2752 | 2015-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698703 | Christopher Robert Millett | Music Therapist | Attn: Chris Millett - Music Therapy Clinic, School of M, 2301 South 3rd St, Louisville, KY 40292 | 2020-01-14 |
| 1376048561 | Dallas Samuel Hagman | Student in an Organized Health Care Education/Training Program | Orthopaedic Surgery Academic Office, Attn: Monica Welsh, 550 S. Jackson Street, Acb, 1st Floor, Louisville, KY 40292 | 2018-03-28 |
| 1477087898 | Bryan T Kendricks | Dentist | School of Dentistry University of Louisville, Rm 148, Louiville, KY 40292 | 2017-04-12 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1871607150 | Barbara Ann Stetson | Psychologist | Dept of Psychological & Brain Sciences, 317 Life Sci Ences Bldg, Univ of Louisville, Louisville, KY 40292 | 2006-08-17 |
| 1508848854 | Maya Leggett | Emergency Medicine | Department of Surgery; School of Medicine, University of Louisville, Louisville, KY 40292 | 2005-11-14 |
| 1396277067 | Tamour Khan Tareen | Student in an Organized Health Care Education/Training Program | 500 South Preston Street, Hsc-a Rm. 113, Louisville, KY 40292 | 2017-03-31 |
| 1780079905 | Jae Kim | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40292 | 2015-04-03 |
| 1992044424 | Eiad Nehad Elathamna | Dentist | 501 South Preston Street, Room # 312, Louisville, KY 40292 | 2013-02-04 |
| 1841387628 | Stephen T Topor | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-05 |
| Find all providers in zip 40292 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
| 1033732029 | Antonio Wayne Terrell | Specialist/Technologist | 3813 Parker Ave, Louisville, KY 40212-2845 | 2020-05-25 |
| 1306475538 | Amanda S King | Specialist/Technologist | 3117 Cabinwood Dr, Louisville, KY 40220-2605 | 2020-04-08 |
| 1174157747 | Megan Fernandez | Specialist/Technologist | 2400 Mellwood Ave Apt 1213, Louisville, KY 40206-1075 | 2020-02-23 |
| 1275166969 | William Robert Burns | Specialist/Technologist | 4928 Determine Ln, Louisville, KY 40216-2365 | 2020-02-20 |
| 1497388466 | Anthony Duong | Specialist/Technologist | 4824 Bellevue Ave, Louisville, KY 40215-2412 | 2020-02-19 |
| 1407494271 | Ashtyn Joy Collins | Specialist/Technologist | 824 S 4th St, Louisville, KY 40203-2116 | 2019-12-12 |
| 1366099624 | Jacob Thomas Brunemann | Specialist/Technologist | 2440 Concord Dr, Louisville, KY 40217-1832 | 2019-08-21 |
| 1811543556 | Brook Lee Reichmuth | Specialist/Technologist | 5120 Dixie Hwy Ste 102, Louisville, KY 40216-1775 | 2019-08-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40292 |
Please comment or provide details below to improve the information on REBECCA PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.