Matthew Armistead, LAT, ATC
Individual provider Active NPI Athletic Trainer · University Park, PA
NPI 1124553649 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1124553649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT006518 (PA)
- Practice address
- 147 Recreation Hall
University Park, PA 16802-5701 - Phone
- (302) 757-2624
- NPI assigned
- Apr 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT006518 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT006518 | PA | Yes |
Addresses
Primary practice location
147 Recreation Hall
University Park, PA 16802-5701
Mailing address
165 Meadow LN
Bellefonte, PA 16823-7633
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://blueocean.edh.com/ |
Other providers in University Park, PA
- Jenny Ora Anand
- Karen M Anderson
- William Christopher Andrus
- Zachary Angell
- Shane Jeffrey Angle
- Peter Andrew Arnett
- Sandra T. Azar
- Ciara Baer
- Rahmiel Albert Ballesteros
- Rebecca Barta
All providers in University Park, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.