Active NPI
Matthew James Hjertstedt, ATC
- Athletic Trainer
- Dallas, TX
National Provider Identifier
1578709754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT4022
- Practice address
- 6550 Shady Brook LN Apt 1732
Dallas, TX 75206-1224 - Phone
- (214) 346-8637
- NPI assigned
- Dec 18, 2008
- 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 | AT4022 | TX | Primary |
Addresses
Primary practice location
6550 Shady Brook LN Apt 1732
Dallas, TX 75206-1224
Mailing address
6550 Shady Brook LN Apt 1732
Dallas, TX 75206-1224
Phone (214) 346-8637
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT4022 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1578709754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 SHADY BROOK LN APT 1732",
"city": "DALLAS",
"state": "TX",
"postal_code": "752061224",
"telephone_number": "214-346-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 SHADY BROOK LN APT 1732",
"city": "DALLAS",
"state": "TX",
"postal_code": "752061224",
"telephone_number": "214-346-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HJERTSTEDT",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-18",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.