Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MATTHEW CONRAD
NPI 1639084759
Specialist/Technologist - Athletic Trainer in Indianapolis, IN

Q: What is Matthew Conrad's NPI number?

The NPI number for Matthew Conrad is 1639084759. It was assigned to this individual provider in the NPPES registry on August 14, 2026.

Q: What is Matthew Conrad'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 Conrad was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since August 14, 2026

1081 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220(317) 808-0350(317) 808-0349 Get Directions Write a Review

NPPES record added: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew Conrad NPPES

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

MATTHEW CONRAD (NPI 1639084759) is an individual athletic trainer provider in Indianapolis, Indiana, licensed in Indiana (36003917A) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1639084759

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMATTHEW CONRAD

Location Address1081 BROAD RIPPLE AVEIndianapolis, IN 46220-2034

Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258

Phone(317) 808-0350

Fax(317) 808-0349

Sole ProprietorNo

Enumeration DateAugust 14, 2026

NPPES CertifiedAugust 14, 2026

✔ NPI 1639084759 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 · 36003917A

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.

1081 BROAD RIPPLE AVE, Indianapolis, IN 46220

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Other Providers at the Same Location NPPES 8

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

JASON MOFFITT ATC

Specialist/Technologist (Athletic Trainer)