MATTHEW PAUL BRUCKER JR. (NPI# 1669614699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669614699 |
| Entity Type | Individual |
| Full Name | MATTHEW PAUL BRUCKER JR. |
| Credential | ATC, MED |
| Practice Address |
30 Log Bridge Rd Middleton MA 01949-2252 |
| Practice Telephone | 5182229049 |
| Mailing Telephone | 5182229049 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1841 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
30 LOG BRIDGE RD |
| City | MIDDLETON |
| State | MA |
| Zip Code | 01949-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689791261 | North Shore Regional High School | Local Education Agency (LEA) | 30 Log Bridge Rd, Middleton, MA 01949-2252 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225680671 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 20 Manning Rd., Middleton, MA 01949 | 2019-07-15 |
| 1417403742 | Sports Rehabilitation Unlimited, LLC | Physical Therapist | 15 Manning Avenue, Middleton, MA 01949 | 2016-08-28 |
| 1952684714 | Susan L Vokey | Pharmacist | 135 South Main St, Middleton, MA 01949 | 2011-09-27 |
| 1306078472 | Papaiah Gopal | Specialist | 6 Maplewood Rd., Middleton, MA 01949 | 2009-08-21 |
| 1093983769 | Town of Middleton | Public Health or Welfare | 195 North Main Street, Middleton, MA 01949 | 2008-02-15 |
| 1881818110 | Margaret A. O'callaghan | Nurse Practitioner | Dys Ne Health Services, 33 Gregory Street, Middleton, MA 01949 | 2007-04-11 |
| 1174650733 | Masayuki Hamazaki | Acupuncturist | Japanese Acupuncture Clinic, 2 Central Street - #201, Middleton, MA 01949 | 2007-02-28 |
| 1033144084 | Dominica Catherine Costello | Internal Medicine | 147 S. Main Street, Middleton, MA 01949 | 2006-07-11 |
| 1689937369 | Valerie L Bamford | Counselor | 1 Central St, Suite 203, Middleton, MA 01949 | 2012-06-19 |
| 1649553900 | Erin E Smith | Pharmacist | 135 South Main Street, Middleton, MA 01949 | 2011-09-23 |
| Find all providers in zip 01949 | ||||
| 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 |
|---|---|---|---|---|
| 1467993568 | Sara Schmitz | Specialist/Technologist | 8593 Ellington Way, Middleton, WI 53562-4902 | 2017-03-09 |
| 1912364209 | David Mincberg | Specialist/Technologist | 6740 Aldo Leopold Way, Middleton, WI 53562-1198 | 2016-01-19 |
| 1528292182 | Gregory Howard Abbott | Specialist/Technologist | 61 Ridge Rd, Middleton, NH 03887-6210 | 2009-05-12 |
| 1992193924 | Amanda Hansen | Specialist/Technologist | 2275 Deming Way, Middleton, WI 53562-5527 | 2014-12-29 |
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| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| 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.