Matthew Jackson, M.S., ATC, LAT
Individual provider Active NPI Athletic Trainer · Townsend, MA
NPI 1306237201 · NPPES record last updated Feb 12, 2015
Key facts
- NPI
- 1306237201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2701 (MA)
- Practice address
- 51 Edward Rd
Townsend, MA 01469-1107 - Phone
- (978) 732-3293
- NPI assigned
- Feb 12, 2015
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2701 | MA | MD | Geriatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2701 | MA | Yes |
Addresses
Primary practice location
51 Edward Rd
Townsend, MA 01469-1107
Mailing address
51 Edward Rd
Townsend, MA 01469-1107
Phone (978) 732-3293
Other providers in Townsend, MA
- Margaret Hackler
- Linda Hammill
- Missibi Ngeah Harrison
- Harvard Healthcare Inc
- Allison Marie Heneghan
- John Philip Katzenberg
- Jennifer Curtis Knapp-Hernandez
- Nicolette Leclair
- Kinsey J Macgregor
- Lorri Mack
All providers in Townsend, 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 Feb 12, 2015. 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.