Matthew Rongstad

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2148 Issued in NC

Practice address

11200 Governor Manly Way
Raleigh, NC 27614-8599

Phone

(919) 562-9410

NPI assigned

Oct 29, 2012

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1174877260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 SHANNONHOUSE DR APT 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148599",
            "telephone_number": "919-562-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONGSTAD",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Gabrielle Romero, CNM
• Robert R Ronchetti, D.C.
• Rondell L. Blakey, D.D.S., P.a.
• Thelma Rone
• Maresa Rose Roney, PHARMD
• Ashley Ronk, PA-C
• Matthew Rook
• Sara L Rooker, MD
• Elizabeth Rooney
• Kevin Rooney, PA-C

• Athletic Trainer in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.