MR. AUSTIN MATLOCK (NPI# 1003236506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003236506 |
| Entity Type | Individual |
| Full Name | MR. AUSTIN MATLOCK |
| Credential | ATC |
| Practice Address |
820 Chestnut St 115 Jason Hall Jefferson City MO 65101-3537 |
| Mailing Address |
2609a Southridge Dr Jefferson City MO 65109-2069 |
| Practice Telephone | 5736815331 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2011025934 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
820 CHESTNUT ST 115 JASON HALL |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326421595 | Jordan Shaeffer | Specialist/Technologist | 820 Chestnut St, 115 Jason Hall, Jefferson City, MO 65101-3537 | 2015-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| 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 |
|---|---|---|---|---|
| 1669931267 | Kaitlyn Elizabeth Burkemper | Specialist/Technologist | 3830 Oxford Rd, Jefferson City, MO 65109-5341 | 2019-03-14 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1134485634 | Travis Arvin Stueve | Specialist/Technologist | 904 E Mountcastle St, Jefferson City, TN 37760-2607 | 2012-04-09 |
| 1043465446 | Shawn C Dumers | Specialist/Technologist | 4704 Woods Xing, Jefferson City, MO 65109-6221 | 2008-11-26 |
| 1093910812 | Kelley Lucille Weidinger | Specialist/Technologist | 3308 W Edgewood Dr Ste F, Jefferson City, MO 65109-6891 | 2007-06-20 |
| 1881728095 | Kay Lea Foster | Specialist/Technologist | 3221 Glenstone Dr, Jefferson City, MO 65109-8801 | 2007-03-16 |
| 1477577500 | Thomas M Brundage | Specialist/Technologist | 1002 Diamond Rdg Ste 800, Jefferson City, MO 65109-7906 | 2006-07-26 |
| 1760426910 | Ronald Joseph Dunn | Specialist/Technologist | 1305 Swifts Hwy, Jefferson City, MO 65109-2557 | 2006-06-16 |
| 1326001207 | Misty Depriest Hudgins | Specialist/Technologist | 2130 S Branner Avenue, Cn Box 72030 -, Jefferson City, TN 37760 | 2006-04-11 |
| 1063485852 | Michael Todd Vanbruggen | Specialist/Technologist | 2130 S Branner Ave, Cn Box 72030, Jefferson City, TN 37760-2224 | 2006-02-10 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on MR. AUSTIN MATLOCK.
| 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.