MATTHEW BENJAMIN BASS (NPI# 1295366433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295366433 |
| Entity Type | Individual |
| Full Name | MATTHEW BENJAMIN BASS |
| Credential | LAT, ATC |
| Practice Address |
81 W Frederick St Walkersville MD 21793-8216 |
| Mailing Address |
141 Thomas Johnson Dr Ste 180 Frederick MD 21702-4509 |
| Practice Telephone | 3019101025 |
| Mailing Telephone | 3016207478 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A0000886 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 141 Thomas Johnson Dr, Frederick, MD 217024502 | 3016207478 | |
| 201 Shorebird St Ste B, Frederick, MD 217011962 | 8557484868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334862 | Matthew Richard Bass | Physical Therapist | 6202 S Parker Rd Unit 500, Centennial, CO 80016-1270 | 2020-07-28 |
| Street Address |
81 W FREDERICK ST |
| City | WALKERSVILLE |
| State | MD |
| Zip Code | 21793-8216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013334119 | Andi Chambers | Specialist/Technologist | 81 W Frederick St, Walkersville, MD 21793-8216 | 2014-03-26 |
| 1437620168 | Tara Jean High | Social Worker | 81 W Frederick St, Walkersville, MD 21793-8216 | 2018-12-06 |
| 1598236226 | Mary Elizabeth Serey Johnson | Counselor | 81 W Frederick St, Walkersville, MD 21793-8216 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861012395 | Thrive Physical Therapy and Wellness LLC | Physical Therapist | 209 Solar Drivce, Walkersville, MD 21793 | 2020-04-24 |
| 1356645030 | Jaimee Suzanne Nichols Hammerman | Speech-Language Pathologist | 2814-b Wildwood Ct., Walkersville, MD 21793 | 2011-01-10 |
| 1063740769 | Kathleen Meghan Hockman | Occupational Therapist | 56 West Frederick Street, Walkersville, MD 21793 | 2009-11-18 |
| 1134397722 | Frederick Sport & Spine Clinic | Physical Therapist | 19 West Frederick Street, Walkersville, MD 21793 | 2008-02-15 |
| 1194906602 | Maureen P Degrange | Nurse Practitioner | 19 W. Frederick Street, Walkersville, MD 21793 | 2007-11-27 |
| 1518177153 | Ramez Saba | Dentist | 31 E Frederick St, Walkersville, MD 21793 | 2007-05-23 |
| 1871669598 | Christine Houle Aloi | Dentist | 8429 Woodsboro Pike, Walkersville, MD 21793 | 2006-11-27 |
| 1689686255 | Amy Marie Killeen | Dentist | 29a West Pennsylvania Avenue, Walkersville, MD 21793 | 2006-08-12 |
| 1861846917 | Susan Ann Donnelly | Occupational Therapy Assistant | 56 West Frederick Street, Walkersville, MD 21793 | 2016-04-14 |
| 1922430131 | William Charles Noonan | Pharmacist | 202 Tylerton Ct, Walkersville, MD 21793-6006 | 2013-07-30 |
| Find all providers in zip 21793 | ||||
| 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 |
|---|---|---|---|---|
| 1972034288 | Keely Marinn Parrish | Specialist/Technologist | 8483 Inspiration Ave, Walkersville, MD 21793-7806 | 2017-03-27 |
| 1013334119 | Andi Chambers | Specialist/Technologist | 81 W Frederick St, Walkersville, MD 21793-8216 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253928 | Haleemah Muhaymin | Specialist/Technologist | 4701 Cedar Ct, Beltsville, MD 20705-2849 | 2020-10-24 |
| 1093328775 | Meghan Rose Pugh | Specialist/Technologist | 411 Penwood Dr, Edgewater, MD 21037-3441 | 2020-08-24 |
| 1023620978 | Tyler Francis Miller | Specialist/Technologist | 103 Cara Cove Rd, North East, MD 21901-5405 | 2020-08-21 |
| 1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
| 1164031811 | Deshanae Michelle Meaders | Specialist/Technologist | 2742 Lorring Dr Apt 204, District Heights, MD 20747-3434 | 2020-07-29 |
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1871118810 | Jordyn Milan Brown | Specialist/Technologist | 9 Lee Airpark Dr # 400, Edgewater, MD 21037-1229 | 2020-06-16 |
| 1184249567 | Kirsten Helman | Specialist/Technologist | 23327 Ringgold Pike, Smithsburg, MD 21783-1114 | 2020-06-11 |
| 1902428188 | Dwanye D Molock | Specialist/Technologist | 11550 Crossroads Cir Unit 649, Middle River, MD 21220-2994 | 2020-05-11 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| Find all providers with the same taxonomy | ||||
| City | WALKERSVILLE |
| Zip Code | 21793 |
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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.