MATTHEW CARROLL (NPI# 1780152025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780152025 |
Entity Type | Individual |
Full Name | MATTHEW CARROLL |
Credential | MS, ATC |
Practice Address |
505 Jim Calhoun Way Storrs CT 06268-1728 |
Practice Telephone | 8602083490 |
Enumeration Date | 2018-11-05 |
Last Update Date | 2018-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1406 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508325580 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Internal Medicine, Los Angeles, CA 90095-7419 | 2019-03-18 |
1124247341 | Matthew Bernard Carroll | Internal Medicine | 3101 Denny Ave Ste 240, Pascagoula, MS 39581-5307 | 2007-04-25 |
1225139314 | Matthew Carroll | Psychiatry & Neurology | 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 | 2006-09-25 |
1710455209 | Matthew William Carroll | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2018-11-02 |
1588169320 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2018-03-26 |
1548789175 | Matthew T Carroll | Physical Therapist | 8796 Route 219, Brockway, PA 15824-6010 | 2017-09-14 |
1003270091 | Matthew Carroll | Obstetrics & Gynecology | 1 Baylor Plz, Bcm610, Houston, TX 77030-3411 | 2016-04-06 |
1346595014 | Matthew L. Carroll | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2012-07-19 |
1518283761 | Matthew Carroll | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2010-04-13 |
1205150968 | Matthew Robert Carroll | Pharmacist | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2010-03-23 |
Street Address |
505 JIM CALHOUN WAY |
City | STORRS |
State | CT |
Zip Code | 06268-1728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982050019 | Steven Taylor Gerhart | Specialist/Technologist | 505 Jim Calhoun Way, Storrs, CT 06268-1728 | 2016-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
1952965196 | Kelsey Rankin | Kinesiotherapist | 100 Jim Calhoun Way, Storrs, CT 06268 | 2019-04-23 |
1215312137 | Patricia M Baker | Social Worker | 945 Storrs Rd, Storrs Mansfield, CT 06268 | 2015-07-21 |
1760866719 | Loving Hands Chiropractic LLC | Chiropractor | 1733 Storrs Rd Ste 11, Storrs, CT 06268 | 2015-07-18 |
1073939336 | Price Chopper Inc | Pharmacy | 1220 Storrs Road, Storrs Mansfield, CT 06268 | 2014-03-11 |
1770827776 | Annmarie Green Bolduc | Nurse Practitioner | 1 Royce Circle, Ste 104, Uconn Medical Group, Storrs, CT 06268 | 2012-11-15 |
1922251859 | Kimberly A Barton | Psychologist | 1066 Storrs Rd., Suite E, Storrs, CT 06268 | 2008-10-22 |
1639335813 | Michael Thomas Hurlock | Counselor | 9 Dunham Pond Road, Storrs, CT 06268 | 2008-08-06 |
1013183979 | Jean Ann Kenny | Social Worker | 17 Lynwood Rd, Storrs, CT 06268 | 2008-05-01 |
1790962397 | Hans L Franzen | Marriage & Family Therapist | 1066 Storrs Road, Storrs, CT 06268 | 2008-01-25 |
Find all providers in zip 06268 |
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 |
---|---|---|---|---|
1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
1417598665 | Dante Gabriel Vittor | Specialist/Technologist | 12 Royce Cir, Storrs, CT 06268-2297 | 2019-09-30 |
1649839168 | Gyujin Kim | Specialist/Technologist | 2095 Hillside Rd # U-1110, Storrs, CT 06269-1110 | 2019-06-08 |
1720568686 | Adam Scott Lepley | Specialist/Technologist | 3107 Horsebarn Hill Rd Unit 4137, Storrs, CT 06269-4137 | 2018-08-20 |
1326528852 | Ed Blair | Specialist/Technologist | 2111 Hillside Rd Unit 3204, Storrs, CT 06269-9179 | 2018-08-15 |
1659862035 | Megan Ashley Barry | Specialist/Technologist | 2111 Hillside Rd Unit 1078, Storrs, CT 06269-1078 | 2018-05-22 |
1487155248 | Andres Tomas Almeraya | Specialist/Technologist | 2110 Hillside Rd #1078r, Storrs, CT 06269-0001 | 2018-02-26 |
1053840678 | Catie Dann | Specialist/Technologist | 2095 Hillside Rd # U-1173, Storrs, CT 06269-1110 | 2017-06-07 |
1184152795 | Hayley O'connell | Specialist/Technologist | Uconn, Storrs, CT 06269-0001 | 2017-05-25 |
1982050019 | Steven Taylor Gerhart | Specialist/Technologist | 505 Jim Calhoun Way, Storrs, CT 06268-1728 | 2016-05-07 |
Find all providers in STORRS |
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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.