Active NPI
Matthew McCarthy
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1285254797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2536
- Practice address
- 7001 W 56TH St
Indianapolis, IN 46254-9725 - Phone
- (724) 591-2345
- NPI assigned
- Apr 24, 2020
- 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 | 2536 | TN | Primary |
Addresses
Primary practice location
7001 W 56TH St
Indianapolis, IN 46254-9725
Mailing address
5800 Central Avenue Pike Apt 1905
Knoxville, TN 37912-2634
Phone (724) 591-2345
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1285254797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 CENTRAL AVENUE PIKE APT 1905",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379122634",
"telephone_number": "724-591-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 W 56TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462549725",
"telephone_number": "724-591-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "2536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.