Matthew Curtis Gilbertson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2014025194 Issued in MO

Practice address

500 College HL
Liberty, MO 64068-1896

Phone

(530) 514-6628

NPI assigned

May 18, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1033856372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BANCROFT AVE",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682870",
            "telephone_number": "530-514-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLLEGE HL",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681896",
            "telephone_number": "530-514-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "MATTHEW",
        "middle_name": "CURTIS",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2014025194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Gercken, MOT, OTR/L
• Elizabeth Kay Gerstner, MD
• Tapas Ghose, M.D.
• Gibson Chiropractic Clinic Jodi Pedersen General Partner
• Jennifer Nichole Gibson, FNP
• Chaykayla Starrrlynn Maria Gilkey
• Amber Gillani
• Brian J Gillenwater, D.O.
• Christina Gimmarro
• Glen Hendren Drive Healthcare LLC

• All providers in Liberty, MO
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.