MATTHEW JOHNSON (NPI# 1306377288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306377288 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHNSON |
| Credential | ATC |
| Practice Address |
713 Mill Grove Dr Audubon PA 19403 |
| Mailing Address |
713 Mill Grove Dr Audubon PA 19403-2119 |
| Practice Telephone | 6107150072 |
| Mailing Telephone | 6107150072 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| 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 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| Street Address |
713 MILL GROVE DR |
| City | AUDUBON |
| State | PA |
| Zip Code | 19403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| 1336484765 | Maria Elena Aguilo-seara | Psychiatry & Neurology | 104 Egypt Road Suite 2, The Neuropsychiatric Group, Eagleville, PA 19403 | 2012-12-12 |
| Find all providers in zip 19403 | ||||
| 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 |
|---|---|---|---|---|
| 1407480023 | Greg Mitman | Specialist/Technologist | 7 East Atlantic Avenue, Audubon, NJ 08106-1469 | 2020-02-24 |
| 1992337398 | Madison Ann Hagedorn | Specialist/Technologist | 200 E Division St N, Audubon, IA 50025-1505 | 2020-02-04 |
| 1437232493 | Scott Lee Lapayover | Specialist/Technologist | 350 Edgewood Ave, Audubon, NJ 08106-2227 | 2006-10-23 |
| 1477510303 | Garret M Gianni | Specialist/Technologist | 2804 Audubon Village Dr, Audubon, PA 19403-2262 | 2006-04-26 |
| 1386184034 | Theresa Powers | Specialist/Technologist | 240 Maple Ave, Audubon, NJ 08106-2316 | 2017-02-28 |
| 1063553311 | Riann Elizabeth Hansen | Specialist/Technologist | 521 Leroy St, Audubon, IA 50025-1206 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.