MR. MATTHEW CAMPBELL LAT, ATC, ITAT, CES - NPI 1114369626 - Specialist/Technologist in Fort Wayne, IN

Q: What is Matthew Campbell's NPI number?

The NPI number for Matthew Campbell is 1114369626. It was assigned to this individual provider in the NPPES registry on July 25, 2013.

Q: What is Matthew Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Campbell was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Matthew Campbell Lat, Atc, Itat, Ces NPPES

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

MR. MATTHEW CAMPBELL LAT, ATC, ITAT, CES (NPI 1114369626) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36002135A) and active in the NPI registry since July 2013. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114369626

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. MATTHEW CAMPBELLCredential: LAT, ATC, ITAT, CES

Location Address7956 W JEFFERSON BLVDFort Wayne, IN 46804-4140

Mailing Address7956 W Jefferson BlvdFort Wayne, IN 46804-4140 · (260) 273-2281

Phone(260) 458-3640

Fax(260) 479-1819

Sole ProprietorYes

Enumeration DateJuly 25, 2013

Last NPPES UpdateApril 1, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2022

✔ NPI 1114369626 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 · 36002135A

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.

7956 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Secondary Practice Locations 3

Location 17201 Engle RdFort Wayne, IN 46804-2228 · Phone (260) 432-1800 ext. 316 · Fax (260) 432-1804

Location 21 University AveAngola, IN 46703-1764 · Phone (260) 273-2281

Location 31701 Freeman StFort Wayne, IN 46802-4713 · Phone (260) 479-3498

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIED PHYSICIANS INC

Clinic/Center (Magnetic Resonance Imaging (MRI))