JON R MATHIS
NPI 1063970291
Specialist/Technologist - Athletic Trainer in Prospect Park, PA

Active since March 06, 2019Accepts Medicare Assignment
661 13TH AVE, PROSPECT PARK, PA 19076(610) 657-2294 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jon R Mathis NPPES

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

JON R MATHIS (NPI 1063970291) is an individual athletic trainer provider in Prospect Park, Pennsylvania and active in the NPI registry since March 2019. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1063970291
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJON R MATHIS
Location Address661 13TH AVEProspect Park, PA 19076-1202
Mailing Address661 13th AveProspect Park, PA 19076-1202 · (610) 657-2294
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 6, 2019
NPI 1063970291 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.
661 13TH AVE, Prospect Park, PA 19076

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jon R Mathis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305374901
PECOS Enrollment IDI20250109003905

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 Jon Mathis's NPI number?

The NPI number for Jon Mathis is 1063970291. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Jon Mathis located?

Jon Mathis practices at 661 13th Ave, Prospect Park, PA 19076. The listed phone number is (610) 657-2294.

What is Jon Mathis's specialty?

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

Is Jon Mathis enrolled in Medicare?

Yes. Jon Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jon Mathis was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.