PROF. MATTHEW JO GAGE (NPI# 1669758728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669758728 |
| Entity Type | Individual |
| Full Name | PROF. MATTHEW JO GAGE |
| Credential | PHD, LAT, ATC |
| Practice Address |
1971 University Blvd Lynchburg VA 24515-1903 |
| Mailing Address |
3552 Bridlewood Ln Terre Haute IN 47802-9269 |
| Practice Telephone | 4345923763 |
| Practice Fax Number | 4345827261 |
| Mailing Telephone | 8122373961 |
| Mailing Fax Number | 8122373615 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126002093 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982911426 | Matthew Gage | Psychoanalyst | 674 Quayside Ct, Las Vegas, NV 89178-1249 | 2010-09-03 |
| 1396711032 | Matthew R. Gage | Chiropractor | 1701 E Madison Ave, Ste A, Derby, KS 67037-2079 | 2006-02-23 |
| Street Address |
1971 UNIVERSITY BLVD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24515-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528056272 | Richard Allan Lane | Specialist | 1971 University Blvd, Lynchburg, VA 24502-2269 | 2005-10-07 |
| 1619585361 | Callie Bobo | Specialist/Technologist | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-07-20 |
| 1386252187 | Tanner Joseph Costine | Specialist/Technologist | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-07-17 |
| 1689296360 | Liberty University, Inc | Family Medicine | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-05-15 |
| 1760004576 | Jackson Lohr | Specialist/Technologist | 1971 University Blvd, Lahaye Ice Center, Lynchburg, VA 24502 | 2020-05-14 |
| 1639705494 | Madison Rose Mitchell | Specialist/Technologist | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-03-12 |
| 1326688649 | Joshua David Smith | Specialist/Technologist | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-01-14 |
| 1629627807 | Geordan Stapleton | Dietitian, Registered | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2019-09-10 |
| 1144874611 | Danielle Elizabeth Ferguson | Dietitian, Registered | 1971 University Blvd, Lynchburg, VA 24515 | 2019-08-01 |
| 1891347993 | Alexander John Logwood | Specialist/Technologist | 1971 University Blvd, Lynchburg, VA 24515 | 2019-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174921852 | Darlene Martin | Specialist/Technologist | 1971 University Blvd., Msc Box 710162, Liberty University, Dept of Public & Community Health, Lynchburg, VA 24515 | 2014-12-12 |
| 1114581774 | Reed Worthington | Specialist/Technologist | Liberty University 1971 University Blvd, Lynchburg, VA 24515-0001 | 2019-04-29 |
| 1033600523 | Noah Andrew Wilson | Specialist/Technologist | 1971 University Bld, Lynchburg, VA 24515-0001 | 2018-05-21 |
| 1265913123 | Sukhwinder Kaur | Pharmacist | 1602 Regents Parkway, Lynchburg, VA 24515-0001 | 2018-08-28 |
| 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 |
|---|---|---|---|---|
| 1467088278 | Carrington Marie Erquiaga | Specialist/Technologist | 2101 Rivermont Ave, Lynchburg, VA 24503-4122 | 2020-03-13 |
| 1235765058 | Hailli Marie Cooke | Specialist/Technologist | 1000 Misty Mountain Rd, Lynchburg, VA 24502-3946 | 2020-03-13 |
| 1730714551 | Alonzo Lopez | Specialist/Technologist | 2133 Edinboro Ave, Lynchburg, VA 24502-5322 | 2020-03-12 |
| 1013549583 | Jacob Gachowski | Specialist/Technologist | 37 Gloucester Dr, Lynchburg, VA 24501-1127 | 2020-02-12 |
| 1528608759 | Candace Elisabeth Del Vallle | Specialist/Technologist | 200 Capstone Dr Unit 207, Lynchburg, VA 24502-5198 | 2020-01-15 |
| 1396395661 | Allyson Brantley | Specialist/Technologist | 102 Stonemill Dr Apt H, Lynchburg, VA 24502-2064 | 2019-09-18 |
| 1114581774 | Reed Worthington | Specialist/Technologist | Liberty University 1971 University Blvd, Lynchburg, VA 24515-0001 | 2019-04-29 |
| 1770147019 | Mayowa David Aribisala | Specialist/Technologist | 7612 Timberlake Rd Apt 1312, Lynchburg, VA 24502-2490 | 2019-04-23 |
| 1184287054 | Ethan Shay Tutton | Specialist/Technologist | 1000 Misty Mountain Rd Apt 165, Lynchburg, VA 24502-3947 | 2019-04-17 |
| 1457814055 | Kristina Overholt | Specialist/Technologist | 88 Briarwood Ln, Lynchburg, VA 24501-7202 | 2019-04-10 |
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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.