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DIVINE MATHES
NPI 1558071829
Specialist/Technologist - Athletic Trainer in Detroit, MI

Active since November 28, 2022
5101 JOHN C LODGE FWY, DETROIT, MI 48202(313) 577-4280 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Mathes NPPES

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

DIVINE MATHES (NPI 1558071829) is an individual athletic trainer provider in Detroit, Michigan, licensed in Michigan (2601002776) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1558071829
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameDIVINE MATHES
Location Address5101 JOHN C LODGE FWYDetroit, MI 48202-3327
Mailing Address23010 Hayes AveEastpointe, MI 48021-1541
Phone(313) 577-4280
Sole ProprietorYes
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
✔ NPI 1558071829 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 MI · 2601002776
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.
5101 JOHN C LODGE FWY, Detroit, MI 48202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MR. MICHAEL CHAN MS, ATC, NASM-PES
Specialist/Technologist (Athletic Trainer)
5101 JOHN C LODGE FWY, 101 MATTHAEI BUILDING
DETROIT, MI 48202
Wayne County (313) 577-5833
MISS JESSICA J MCNALLY MPA, AT, ATC
Specialist/Technologist (Athletic Trainer)
5101 JOHN C LODGE FWY
DETROIT, MI 48202
Wayne County (313) 577-1008
ERIN BROWN MA, AT, ATC
Specialist/Technologist (Athletic Trainer)
5101 JOHN C LODGE FWY
DETROIT, MI 48202
Wayne County (313) 577-5833

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 Divine Mathes's NPI number?

The NPI number for Divine Mathes is 1558071829. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Divine Mathes located?

Divine Mathes practices at 5101 John C Lodge Fwy, Detroit, MI 48202. The listed phone number is (313) 577-4280.

What is Divine Mathes'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 Divine Mathes was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.