Active NPI
Matthew Joseph Sweet, MS, ATC
- Athletic Trainer
- Syracuse, NY
National Provider Identifier
1114109519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001429
- Practice address
- 5719 Widewaters Pkwy
Syracuse, NY 13214-1880 - Phone
- (315) 449-1301
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001429 | NY | Primary |
Addresses
Primary practice location
5719 Widewaters Pkwy
Syracuse, NY 13214-1880
Mailing address
404 Branchwood Dr
Liverpool, NY 13090-3209
Phone (315) 575-2720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001429 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1114109519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 BRANCHWOOD DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130903209",
"telephone_number": "315-575-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5719 WIDEWATERS PKWY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141880",
"telephone_number": "315-449-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEET",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.