Matthew Douglas Zittel, SCAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2857 Issued in SC

Practice address

102 Saluda Pointe Dr
Lexington, SC 29072-7295

Phone

(330) 933-2868

NPI assigned

Feb 1, 2019

Sex

Male

Sole proprietor

Yes

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1144785361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BENTLEY DR APT 422",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107982",
            "telephone_number": "330-933-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SALUDA POINTE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727295",
            "telephone_number": "330-933-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTEL",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "credential": "SCAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "AT2857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarahjane Zablow
• Ha Thuy Ziegler, R.PH.
• Leah M Ziegler
• Steven Bryan Ziegler Jr., PHARMD., M.B.A.
• Kelsey-Ann Zimmerman, PTA
• Heather Holt Zmroczek, PHARM.D.
• Amanda Zoccolo, MSOT, OTR/L
• Shannon Renee Zona
• Garry Zuebert Jr., FNP

• Athletic Trainer in Lexington, SC
• Providers in Lexington, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.