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REBECCA J SULLIVAN
NPI 1497410690
Specialist/Technologist - Athletic Trainer in Omaha, NE

Active since November 02, 2021
4117 S 120TH ST # 1250, OMAHA, NE 68137(402) 719-1194 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca J Sullivan NPPES

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

REBECCA J SULLIVAN (NPI 1497410690) is an individual athletic trainer provider in Omaha, Nebraska, licensed in Nebraska (205) and active in the NPI registry since November 2021. She maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1497410690
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameREBECCA J SULLIVAN
Location Address4117 S 120TH ST # 1250Omaha, NE 68137-1250
Mailing Address905 Wilmont StFremont, NE 68025-6214 · (402) 719-1194
Phone(402) 719-1194
Sole ProprietorYes
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1497410690 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
License✔ Licensed in NE · 205
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.
4117 S 120TH ST # 1250, Omaha, NE 68137
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Secondary Practice Location 1

Location 1905 Wilmont StFremont, NE 68025-6214 · Phone (402) 719-1194

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 Sullivan's NPI number?

The NPI number for Rebecca Sullivan is 1497410690. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Rebecca Sullivan located?

Rebecca Sullivan practices at 4117 S 120th St # 1250, Omaha, NE 68137. The listed phone number is (402) 719-1194.

What is Rebecca Sullivan'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 Sullivan was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.