MEDICARE: MS. REBECCA KATHRYN LOUISE HAHN PA-C, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	OA005186	PA
2	363AS0400X	Surgical Physician Assistant	OA005186	PA
3	363AM0700X	Medical Physician Assistant	MA061492	PA
4	2255A2300X	Athletic Trainer	2000013499

General Provider Information

NPI Number	:	1588002109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA KATHRYN LOUISE HAHN PA-C, ATC

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-466-2451
Fax Number	:	717-466-2453

Provider Business Practice Location Address
First Line	:	4131 OREGON PIKE
Second Line	:
City	:	EPHRATA
State	:	PA
Zip	:	17522-9550
Country	:	US
Telephone Number	:	717-466-2451
Fax Number	:	717-466-2453

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2013
Last Update Date	:	12/10/2025

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