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REBECCA LYNN JACK ATC
NPI 1043017940
Specialist/Technologist - Athletic Trainer in Riverside, CA

Active since February 27, 2025
7150 BROCKTON AVE, RIVERSIDE, CA 92506(951) 683-6370 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Lynn Jack Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA LYNN JACK ATC (NPI 1043017940) is an individual athletic trainer provider in Riverside, California and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1043017940
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameREBECCA LYNN JACKCredential: ATC
Location Address7150 BROCKTON AVERiverside, CA 92506-2614
Mailing Address12025 Silicon AveChino, CA 91710-1669
Phone(951) 683-6370
Sole ProprietorNo
Enumeration DateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1043017940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
7150 BROCKTON AVE, Riverside, CA 92506
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE MEDICAL CLINIC, INC
Family Medicine (Sports Medicine)
7150 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 683-6370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Jack's NPI number?

The NPI number for Rebecca Jack is 1043017940. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Where is Rebecca Jack located?

Rebecca Jack practices at 7150 Brockton Ave, Riverside, CA 92506. The listed phone number is (951) 683-6370.

What is Rebecca Jack's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Rebecca Jack was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.