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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MATTHEW EDWIN WALLACE ATC, PES
NPI 1760426258
Specialist/Technologist - Athletic Trainer in Omaha, NE

Active since June 15, 2006
CREIGHTON UNIUVERSITY, 2500 CALIFORNIA PLAZA, OMAHA, NE 68178(402) 280-5563(402) 280-3110 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Matthew Edwin Wallace Atc, Pes NPPES

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

MR. MATTHEW EDWIN WALLACE ATC, PES (NPI 1760426258) is an individual athletic trainer provider in Omaha, Nebraska, licensed in Nebraska (378) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1760426258
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. MATTHEW EDWIN WALLACECredential: ATC, PES
Location AddressCREIGHTON UNIUVERSITY, 2500 CALIFORNIA PLAZAOmaha, NE 68178-0001
Mailing Address2932 S 93rd Plz, Apt. 5Omaha, NE 68124-2823 · (402) 990-4004 · Fax (402) 280-3110
Phone(402) 280-5563
Fax(402) 280-3110
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1760426258 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 NE · 378
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.
CREIGHTON UNIUVERSITY, Omaha, NE 68178
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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 Wallace's NPI number?

The NPI number for Matthew Wallace is 1760426258. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Matthew Wallace located?

Matthew Wallace practices at Creighton Uniuversity 2500 California Plaza, Omaha, NE 68178. The listed phone number is (402) 280-5563.

What is Matthew Wallace'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 Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.