Individual provider Active NPI

Matthew W Hunt, ATC, LAT

  • Athletic Trainer
  • Nantucket, MA
National Provider Identifier
1487122792
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3106 Issued in MA
Practice address
10 Surfside Rd
Nantucket, MA 02554-6052
Phone
(508) 228-7280
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 3106 MA Primary

Addresses

Primary practice location

10 Surfside Rd
Nantucket, MA 02554-6052

Mailing address

4 Lyon St
Nantucket, MA 02554-3921
Phone (617) 980-3195

Other practice location 1

4 Lyon St
Nantucket, MA 02554-3921
Phone (508) 228-7280 ext. 1230

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

State licenses

LicenseStateTypeSpecialty
3106MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1487122792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LYON ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025543921",
            "telephone_number": "617-980-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SURFSIDE RD",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025546052",
            "telephone_number": "508-228-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Lyon St",
            "address_purpose": "LOCATION",
            "city": "Nantucket",
            "state": "MA",
            "postal_code": "025543921",
            "country_code": "US",
            "telephone_number": "508-228-7280 x1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "3106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.