JOE MATTINGLY (NPI# 1134551518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134551518 |
| Entity Type | Individual |
| Full Name | JOE MATTINGLY |
| Credential | ATC |
| Practice Address |
2615 Harrison St Bellwood IL 60104-2450 |
| Mailing Address |
409 Millwood Dr Bartlett IL 60103-5131 |
| Practice Telephone | 7084930299 |
| Mailing Telephone | 6304645778 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003562 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2615 HARRISON ST |
| City | BELLWOOD |
| State | IL |
| Zip Code | 60104-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344657 | Occu - Sports Med Corp | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2005-08-24 |
| 1558842773 | Nicholas Michael Mchugh | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-08-25 |
| 1770086480 | Occupational Health Centers of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
| 1164925871 | American Current Care of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
| 1497206676 | Joel Starzyk | Physical Therapy Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-10-21 |
| 1861941163 | U.S. Healthworks Medical Group of Illinois, PC | Preventive Medicine | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-09-27 |
| 1821414939 | Elis X Rodriguez | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2014-03-13 |
| 1104259126 | Brian B Minardi | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2013-08-13 |
| 1215273834 | Advanced Occupational Medicine Specialists | Internal Medicine | 2615 Harrison St, Bellwood, IL 60104 | 2012-12-31 |
| 1073813507 | Julie Grobbelaar Fernandes | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682232 | Juanita Erica Williams | Non-emergency Medical Transport (VAN) | 622 Bohland Ave, Bellwood, IL 60104 | 2017-07-25 |
| 1548680887 | Edward Erlikh | Family Medicine | 456 25th Ave, Bellwood, IL 60104 | 2014-04-25 |
| 1649472333 | American Family Dental Care P.c | Dentist | 4209.st.charles Road, Bellwood, IL 60104 | 2007-06-04 |
| 1235291287 | Lary Michael Pane | Dentist | 4420 St Charles Road, Bellwood, IL 60104 | 2006-12-15 |
| 1356411136 | Westchester Family Dental Ltd | Dentist | 4 Westbrook Corporate Center Ste 102, Westchester, IL 60104 | 2006-11-08 |
| 1750450128 | Sethurama Muthuramaswami | Dentist | 4209.st. Charles Road, Bellwood, IL 60104 | 2006-11-07 |
| 1508966466 | Universal Transportation II | Secured Medical Transport (VAN) | 2843 Washington Blvd, Bellwood, IL 60104 | 2006-09-22 |
| 1437103512 | Modupe Oladeinde | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-05-21 |
| 1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
| 1740690668 | Hiram Kirkendall Jr. | Counselor | 510 Geneva Ave, Bellwood, IL 60104 | 2014-04-30 |
| Find all providers in zip 60104 | ||||
| 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 |
|---|---|---|---|---|
| 1821414939 | Elis X Rodriguez | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
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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.