Metro Athletic Trainers Alliance, Aka Mata

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

ATAT142301 Issued in OR

Legal business name

METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA

Practice address

5735 SW 170TH Ave
Aloha, OR 97007-3318

Phone

(503) 356-0120

Fax

(503) 693-2330

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward James Lewis, ATC/RNPI 1164465126

Title

Athletic Trainer

Phone

(503) 312-2616

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward James Lewis, ATC

  • Athletic Trainer
  • Hillsboro, OR
  • NPI 1164465126
  NPD (past) Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457313355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 SW 170TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970073318",
            "telephone_number": "503-356-0120",
            "fax_number": "503-693-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 SW 170TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970073318",
            "telephone_number": "503-356-0120",
            "fax_number": "503-693-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "503-312-2616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC/R"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": "OR",
            "license": "ATAT142301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony McLean, HAS
• Amanda Meadow
• Karla Cecilia Mejia
• Melody 24 Hour Residential Home LLC
• Tayler Meredith
• Michael F. Stapleton DDS, PC
• Michelle Graber DMD PC
• Michelle Hasson
• David T Mihelic, MD
• Amanda Miller

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Aloha, OR
• Providers in Aloha, OR by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.