MATT HARRELSON (NPI# 1790134922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790134922 |
| Entity Type | Individual |
| Full Name | MATT HARRELSON |
| Credential | ATC |
| Practice Address |
4915 25th Ave Ne Ste 104w Seattle WA 98105-5667 |
| Practice Telephone | 2063157998 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160495732 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4915 25TH AVE NE STE 104W |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| 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 |
|---|---|---|---|---|
| 1063030583 | Elizabeth Kakos | Specialist/Technologist | 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 | 2020-07-10 |
| 1104467059 | Julie Agel | Specialist/Technologist | 3251 47th Ave Sw, Seattle, WA 98116-3316 | 2019-10-02 |
| 1932759990 | Katoya Unique Kinsey | Specialist/Technologist | 2033 6th Ave Fl 9, Seattle, WA 98121-2573 | 2019-09-12 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1871151480 | Kendall Delaney Baker | Specialist/Technologist | 4155 14th Ave S, Seattle, WA 98108-1433 | 2019-05-30 |
| 1225591712 | Juan Felipe Villegas-sotelo | Specialist/Technologist | 1124 S Dawson St, Seattle, WA 98108-2326 | 2019-04-10 |
| 1902387012 | Rick Griffin | Specialist/Technologist | 1250 1st Ave S, Seattle, WA 98134-1216 | 2018-08-27 |
| 1477054013 | Tori Mulitauaopele | Specialist/Technologist | 10848 4th Ave Sw, Seattle, WA 98146-2245 | 2018-02-27 |
| 1558877571 | Elinora Gallogly | Specialist/Technologist | 123 N 103rd St Unit W301, Seattle, WA 98133-9136 | 2017-12-28 |
| 1073039988 | Steven Mosher-stockinger | Specialist/Technologist | University of Washington Graves Building Box 354070, Seattle, WA 98195-0001 | 2017-08-22 |
| Find all providers in SEATTLE | ||||
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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.