MATT SMITH LAT, ATC - NPI 1124481601 - Specialist/Technologist in Saint Bonaventure, NY

Q: What is Matt Smith's NPI number?

The NPI number for Matt Smith is 1124481601. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Matt Smith'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 Matt Smith was last updated on December 5, 2018. 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.

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About Matt Smith Lat, Atc NPPES

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

MATT SMITH LAT, ATC (NPI 1124481601) is an individual athletic trainer provider in Saint Bonaventure, New York, licensed in New York (003747) and active in the NPI registry since April 2016. He maintains a secondary practice location in Lewis Center.

NPPES Registry Identity

NPI1124481601

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMATT SMITHCredential: LAT, ATC

Location Address3261 W STATE RDSaint Bonaventure, NY 14778

Mailing Address1604 Wilhoit AveLewis Center, OH 43035-7933

Phone(716) 375-2230

Sole ProprietorYes

Enumeration DateApril 1, 2016

Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration

✔ NPI 1124481601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NY · 003747

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3261 W STATE RD, Saint Bonaventure, NY 14778

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Secondary Practice Location 1

Location 11604 Wilhoit AveLewis Center, OH 43035-7933 · Phone (740) 816-3770

Other Providers at the Same Location NPPES 13

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

CARLEY FERN STEVENSON

Physician Assistant