Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rebecca J Sullivan

Individual provider Athletic Trainer · NPI 1497410690

Rebecca J Sullivan is an Athletic Trainer in Omaha, Nebraska. Practices as a sole proprietor and works from 2 locations. Licensed in Nebraska.

Licensed in
NE
In the registry since
2021

Practice location Address checks out

4117 S 120th St # 1250
Omaha, NE 68137-1250
Phone: (402) 719-1194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 905 Wilmont St, Fremont, NE 68025-6214 — (402) 719-1194

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 205 (NE)

Record details

NPI number1497410690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address905 Wilmont St, Fremont, NE 68025-6214

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