Active NPI
Matthew Michael Hanks, M.ED., ATC, LAT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Auburn, AL
National Provider Identifier
1336676352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 1676
- Practice address
- 1228 Haley Ctr
Auburn, AL 36849-0001 - Phone
- (334) 844-2096
- NPI assigned
- May 22, 2017
- 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 1676 | AL | Primary |
Addresses
Primary practice location
1228 Haley Ctr
Auburn, AL 36849-0001
Mailing address
626 Shug Jordan Pkwy Apt 235
Auburn, AL 36832-4339
Phone (616) 644-3592
Other practice location 1
Beard-Eaves Memorial Coliseum
Auburn, AL 36832
Phone (616) 644-3592
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1676 | AL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336676352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 SHUG JORDAN PKWY APT 235",
"city": "AUBURN",
"state": "AL",
"postal_code": "368324339",
"telephone_number": "616-644-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 HALEY CTR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368490001",
"telephone_number": "334-844-2096"
}
],
"practiceLocations": [
{
"address_1": "Beard-Eaves Memorial Coliseum",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "36832",
"country_code": "US",
"telephone_number": "616-644-3592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANKS",
"first_name": "MATTHEW",
"middle_name": "MICHAEL",
"credential": "M.ED., ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "AL",
"license": "1676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.