MATTHEW LEE MALLINGER (NPI# 1851837389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851837389 |
| Entity Type | Individual |
| Full Name | MATTHEW LEE MALLINGER |
| Credential | BS, ATC |
| Practice Address |
213 Meadow Sweet Pl Watertown MN 55388-8382 |
| Mailing Address |
2205 Meadow Oak Ave Apt 335 Monticello MN 55362 |
| Practice Telephone | 3203334481 |
| Mailing Telephone | 3203334481 |
| Enumeration Date | 2017-01-08 |
| Last Update Date | 2017-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000027256 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
213 MEADOW SWEET PL |
| City | WATERTOWN |
| State | MN |
| Zip Code | 55388-8382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1598378952 | Patric Burke | Massage Therapist | 409 Territorial Road, Watertown, MN 55388 | 2020-08-26 |
| 1962983932 | Mary Barthel | Physical Therapist | 200 Wesminster Ave. Nw, Watertown, MN 55388 | 2018-08-27 |
| 1154820132 | Winsted Dental Pllc | Dentist | 229 Lewis Avenue South, Watertown, MN 55388 | 2018-02-06 |
| 1134200264 | Heather Marie Kary Jarvis | Chiropractor | 203 Lewis Ave S, Watertown, MN 55388 | 2006-10-17 |
| 1528150174 | Westwood Place | Health Maintenance Organization | 209 Jefferson Ave Sw, Watertown, MN 55388 | 2006-09-29 |
| 1841392107 | Kathleen Mary Mccann | Dentist | 229 Lewis Ave, Watertown, MN 55388 | 2006-09-05 |
| 1710027990 | Chiropractic Specialists of Watertown PC | Chiropractor | 203 Lewis Ave S, Watertown, MN 55388 | 2007-02-07 |
| 1962588525 | Melinda S. Ament | Nurse Practitioner | 204 Lewis Ave S, Watertown, MN 55388 | 2006-10-27 |
| 1740350677 | Robert Thomas Griffith | Dentist | 100 Angel Ave Sw, Watertown, MN 55388-0100 | 2006-11-08 |
| Find all providers in zip 55388 | ||||
| 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 |
|---|---|---|---|---|
| 1063035616 | Tyler Gardiner | Specialist/Technologist | 61 Green St, Watertown, MA 02472-2351 | 2020-05-18 |
| 1164059713 | Caitlin Kammerer | Specialist/Technologist | 704 Amundson Ln, Watertown, MN 55388-9409 | 2020-03-24 |
| 1346883568 | Carl Newton | Specialist/Technologist | 9360 Sparta Pike, Watertown, TN 37184-1428 | 2019-10-21 |
| 1326530916 | Madelyn Jones | Specialist/Technologist | 615 Labaree St, Watertown, WI 53098-3019 | 2018-05-31 |
| 1669962734 | Michael P Carpino | Specialist/Technologist | 14 Gilkey Ct Apt 3, Watertown, MA 02472-3966 | 2018-05-15 |
| 1891299269 | Alexander Vazquez | Specialist/Technologist | 32 Wilder Ct, Watertown, CT 06795-1924 | 2018-03-21 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1013445543 | Megan M Shepherd | Specialist/Technologist | 635 W Prospect St Apt 1, Watertown, NY 13601-2494 | 2017-05-29 |
| 1962818856 | Michelle Leitheiser | Specialist/Technologist | 909 N Maple, Watertown, SD 57201-1683 | 2014-07-11 |
| 1770638751 | Amy Smallfield | Specialist/Technologist | 200 9th St Ne, Watertown, SD 57201-2863 | 2007-01-23 |
| Find all providers in WATERTOWN | ||||
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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.