REBEKAH SMITH (NPI# 1720512510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720512510 |
| Entity Type | Individual |
| Full Name | REBEKAH SMITH |
| Other Name | REBEKAH MCDANIEL |
| Credential | ATC |
| Practice Address |
34 Dale Rd Avon CT 06001-3659 |
| Mailing Address |
142 Chapel Rd Winsted CT 06098-2525 |
| Practice Telephone | 5402875153 |
| Mailing Telephone | 5402875153 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000020992 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOARD OF CERTIFICATION | 2000020992 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447700257 | Rebekah Smith | Counselor | 1840 Bello Hills Ln, Escondido, CA 92026-2014 | 2016-10-05 |
| 1447621479 | Rebekah Smith | Counselor | 13520 Potwin St, Omaha, NE 68137-1631 | 2015-10-16 |
| 1750676011 | Rebekah Smith | Home Health | 1014 G Ave, Plano, TX 75074-6816 | 2011-06-15 |
| 1962630277 | Rebekah Anne Smith | Optometrist | 15037 Madeira Way, Madeira Beach, FL 33708 | 2009-06-25 |
| 1306458781 | Rebekah Smith | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-08-18 |
| 1972115418 | Rebekah Smith | Speech-Language Pathologist | 6051 W Sweetwater Ave, Glendale, AZ 85304-1112 | 2020-08-17 |
| 1578196622 | Rebekah Smith | Psychologist | 115 Kildaire Park Dr Ste 313, Cary, NC 27518-8144 | 2020-02-18 |
| 1003302985 | Rebekah Dale Smith | Behavioral Analyst | 18311 Bothell Everett Hwy Ste 260, Bothell, WA 98012-5233 | 2018-07-03 |
| 1598267346 | Rebekah Rene Smith | Social Worker | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2018-03-07 |
| 1568993202 | Rebekah Smith | Nurse Practitioner | 2062 Whiskey Rd, Minuteclinic Store #4295, Aiken, SC 29803-6183 | 2017-03-24 |
| Street Address |
34 DALE RD |
| City | AVON |
| State | CT |
| Zip Code | 06001-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887633 | Ira M Greene | Dentist | 34 Dale Rd, Avon, CT 06001-3659 | 2005-11-01 |
| 1154516748 | Farmington Valley Orthopedic Associates, P.C. | Orthopaedic Surgery | 34 Dale Rd, Avon, CT 06001 | 2007-09-07 |
| 1881893717 | Daniel John Gill | Dentist | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 2007-07-11 |
| 1801013727 | Avon Oral and Maxillofacial Surgery, LLP | Dentist | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 2007-04-20 |
| 1497877575 | Kathleen Carolyn Wawrzyniak Webb | Psychologist | 34 Dale Rd, Suite 212, Avon, CT 06001-3659 | 2007-04-06 |
| 1174654941 | Sherald Patricia Eklund | Nurse Practitioner | 34 Dale Rd, Suite 205, Avon, CT 06001-3659 | 2007-03-07 |
| 1285786897 | Marilyn Rotondo | Social Worker | 34 Dale Rd, Avon, CT 06001-3659 | 2007-01-17 |
| 1043387384 | Steven David Bond | Specialist | 34 Dale Rd, Avon, CT 06001-3659 | 2006-11-30 |
| 1245307438 | David Barry Burstein | Specialist | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 | 2006-11-30 |
| 1497822605 | Clinton Armin Jambor | Specialist | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| 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 |
|---|---|---|---|---|
| 1760025399 | Edson Cuiriz | Specialist/Technologist | 1427 Fir Ln, Avon, IN 46123-7195 | 2019-10-27 |
| 1992262174 | Kassie Kathryn Clements | Specialist/Technologist | 37617 Detroit Rd, Avon, OH 44011-2170 | 2019-02-25 |
| 1437621935 | Beth Hauck | Specialist/Technologist | 37545 Detroit Rd, Avon, OH 44011-2133 | 2018-12-20 |
| 1780189167 | Brandon Madden | Specialist/Technologist | 7199 E Us Highway 36, Avon, IN 46123-7968 | 2018-03-27 |
| 1174048904 | Richelle Trebilcock | Specialist/Technologist | 302 W Main St Ste 204, Avon, CT 06001-4306 | 2017-08-14 |
| 1982151262 | Ryan Youngs | Specialist/Technologist | 8653 Redditch Dr, Avon, IN 46123-6633 | 2016-09-05 |
| 1578018057 | Lindsay Thompson | Specialist/Technologist | 6003 Timberbend Dr, Avon, IN 46123-7705 | 2016-08-24 |
| 1407263726 | Alissa Claiser | Specialist/Technologist | 2613 Bear Trap Rd #a, Avon, CO 81620 | 2014-07-18 |
| 1114333267 | Julia Plourde | Specialist/Technologist | 248 New Rd, Avon, CT 06001-3166 | 2014-07-09 |
| 1730520891 | Ronald Max Benton | Specialist/Technologist | 36511 Scottsmour Ct, Avon, OH 44011-3461 | 2013-07-17 |
| Find all providers in AVON | ||||
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| 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.