MATTHEW JOHNSON (NPI# 1164031050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164031050 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHNSON |
| Credential | ATC |
| Practice Address |
1300 Wheat St Columbia SC 29208-0001 |
| Mailing Address |
3109 Jefferson Davis Hwy Sanford NC 27332-7117 |
| Practice Telephone | 9193567356 |
| Mailing Telephone | 9193567356 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000038912 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
1300 WHEAT ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29208-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548478522 | Jeremy R Searson | Specialist/Technologist | 1300 Wheat St, Blatt Pe Center, Room 218-p, Columbia, SC 29201 | 2007-05-21 |
| 1275194706 | Adam M Hollien | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2019-06-25 |
| 1922666759 | Mychelle Lynn Berry | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2019-06-05 |
| 1083177281 | Stephanie Ulshafer | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-3515 | 2019-04-13 |
| 1780158337 | Dylan Rowe | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2019-01-16 |
| 1013447424 | Danielle Cadet | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2017-06-18 |
| 1316477748 | Ashley Desousa | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2017-06-18 |
| 1104356609 | Courtney Leanne Bradley | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2017-06-15 |
| 1417499062 | Tyler Austin Long | Specialist/Technologist | 1300 Wheat St, Office 214, Columbia, SC 29208-0001 | 2016-11-14 |
| 1790231959 | Jordan Lockman | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409834 | Nathan Orth | Specialist/Technologist | 1304 Heyward St, Columbia, SC 29208 | 2019-04-19 |
| 1710434253 | Talley Young | Specialist/Technologist | 1300 Wheat Street, Columbia, SC 29208 | 2016-09-01 |
| 1720368871 | Anwar Merchant | Student in an Organized Health Care Education/Training Program | 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 | 2011-08-22 |
| 1730202805 | Cynthia Mcintyre Thompson | Registered Nurse | 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 | 2007-04-06 |
| 1841837481 | Stephanie Jo Beeler | Registered Nurse | 1601 Greene St, Columbia, SC 29208 | 2019-12-02 |
| 1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
| 1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
| 1235764580 | Cheedy Jaja | Registered Nurse | College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 | 2020-03-06 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1568019099 | Jennifer Cross | Counselor | 1401 Devine St Thomson Building 4th Floor, Columbia, SC 29208-0001 | 2019-08-20 |
| Find all providers in zip 29208 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| 1285254425 | Krista Haidle | Specialist/Technologist | 2400 Jackson Blvd, Columbia, SC 29207-7015 | 2020-04-17 |
| 1497392211 | Delores Dalrymple Gulledge | Specialist/Technologist | 424 Leton Dr, Columbia, SC 29210-4218 | 2019-12-01 |
| 1285282236 | Alyssa Faith Hawkins | Specialist/Technologist | 1609 Jennifer Dr, Columbia, TN 38401-5431 | 2019-09-03 |
| 1255989232 | Victoria Simpson | Specialist/Technologist | 886 Brickingham Way, Columbia, SC 29229-9550 | 2019-09-03 |
| 1174171151 | Rachel Marie Gordon | Specialist/Technologist | 1050 Southern Dr Apt 1705, Columbia, SC 29201-5643 | 2019-09-03 |
| 1700432101 | Mitchell Vandel | Specialist/Technologist | 4115 S Providence Rd # 101, Columbia, MO 65203-7113 | 2019-08-13 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.