Active NPI
Matthew B Yampolsky, MS, ATC, LAT
- Athletic Trainer
- Winter Garden, FL
National Provider Identifier
1447249826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 910
- Practice address
- 8019 John Hancock Dr
Winter Garden, FL 34787-5498 - Phone
- (954) 540-8130
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | AL 910 | FL | Primary |
Addresses
Primary practice location
8019 John Hancock Dr
Winter Garden, FL 34787-5498
Mailing address
17125 SW 34TH St
Miramar, FL 33027-4537
Phone (954) 540-8130
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL 910 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1447249826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17125 SW 34TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274537",
"telephone_number": "954-540-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 JOHN HANCOCK DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875498",
"telephone_number": "954-540-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMPOLSKY",
"first_name": "MATTHEW",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.