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MATTHEW WILLETT ATC
NPI 1104226018
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Active since August 27, 2014
1010 MEMORIAL WAY STE 100, FORT WAYNE, IN 46805(260) 341-9427 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 23, 2017 (2 updates tracked since 2017).

About Matthew Willett Atc NPPES

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

MATTHEW WILLETT ATC (NPI 1104226018) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36001778A) and active in the NPI registry since August 2014. He maintains a secondary practice location in Rensselaer.

NPPES Registry Identity

NPI1104226018
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMATTHEW WILLETTCredential: ATC
Location Address1010 MEMORIAL WAY STE 100Fort Wayne, IN 46805-1368
Mailing Address508 Glenfield DrFort Wayne, IN 46825-4083 · (260) 341-9427
Phone(260) 341-9427
Sole ProprietorYes
Enumeration DateAugust 27, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1104226018 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 IN · 36001778A
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.
1010 MEMORIAL WAY STE 100, Fort Wayne, IN 46805
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Secondary Practice Location 1

Location 11104 E Grace StRensselaer, IN 47978-3211 · Phone (219) 866-6245

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 Matthew Willett's NPI number?

The NPI number for Matthew Willett is 1104226018. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Matthew Willett located?

Matthew Willett practices at 1010 Memorial Way Ste 100, Fort Wayne, IN 46805. The listed phone number is (260) 341-9427.

What is Matthew Willett'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 Matthew Willett was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.