Matthew Kirkpatrick
Individual provider Active NPI Athletic Trainer · Foxborough, MA
NPI 1164186342 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1164186342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2990 (MA)
- Practice address
- 1776 Revolution Way
Foxborough, MA 02035-1157 - Phone
- (508) 734-0794
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 25MT00207500 | NJ | MD | Athletic Trainer |
| RT005954 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005954 | PA | |
| Athletic Trainer | 2255A2300X | 2990 | MA | Yes |
| Athletic Trainer | 2255A2300X | 25MT00207500 | NJ |
Addresses
Primary practice location
1776 Revolution Way
Foxborough, MA 02035-1157
Mailing address
230 Stonehaven Dr
Red Hill, PA 18076-1412
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cerner |
Other providers in Foxborough, MA
- Meredith Lynn Jones
- Peter Alexander Jordan
- Laerta Kamberi
- Henry Martin Karshis Jr.
- Autumn J Kempf
- Abenaa Kobi Ampem
- Danielle Kradin
- Caroline Kuppens
- Jennifer Louisa Kurz
- Youn-Kyoung Kwak
All providers in Foxborough, MA · Athletic Trainer in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. 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.