Individual provider Active NPI

Matthew Falke, MS, ATC, LAT

  • Athletic Trainer
  • Lee's Summit, MO
National Provider Identifier
1366813248
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
901 NE Douglas St
Lees Summit, MO 64086-4505
Phone
(816) 507-9687
NPI assigned
Oct 17, 2015
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MO Primary

Addresses

Primary practice location

901 NE Douglas St
Lees Summit, MO 64086-4505

Mailing address

8116 E 99TH St
Kansas City, MO 64134-1717
Phone (816) 304-7122

Other practice location 1

320 W Market St
Warrensburg, MO 64093-1632
Phone (816) 304-7122

Other practice location 2

8116 E 99th St
Kansas City, MO 64134-1717
Phone (816) 304-7122

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1366813248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 E 99TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341717",
            "telephone_number": "816-304-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864505",
            "telephone_number": "816-507-9687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W Market St",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "MO",
            "postal_code": "640931632",
            "country_code": "US",
            "telephone_number": "816-304-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8116 E 99th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641341717",
            "country_code": "US",
            "telephone_number": "816-304-7122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALKE",
        "first_name": "MATTHEW",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-17",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.