John E Massie, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

374 E. Grand Ave.
Siuc Student Health Center
Carbondale, IL 62901

Phone

(618) 453-1292

Fax

(618) 453-4290

NPI assigned

Feb 23, 2007

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043346372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 E. GRAND AVE.",
            "address_2": "SIUC STUDENT HEALTH CENTER",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 E. GRAND AVE.",
            "address_2": "SIUC STUDENT HEALTH CENTER",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-453-1292",
            "fax_number": "618-453-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Martin, M.D.
• Laterriea Martin, LCSW
• Melissa A Martinez Mateo, M.D.
• Benjamin D Mason, MD
• Daniel Lee Massie, D.M.D.
• Mary Rita Matteson, COTA/L
• Michael Leroy Matteson, PA C
• Courtney Lyn Maynor, OTR/L
• Chastity K Mays, CD(DONA0
• Shanea J Mays

• Athletic Trainer in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.