Matthew John Blimline, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

929 Lakeshore Dr
Leesport, PA 19533-8631

Phone

(610) 916-5463

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schuylkill Valley School District

  • Local Education Agency (LEA)
  • Leesport, PA
  • NPI 1609905124
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629013438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 READING AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071927",
            "telephone_number": "610-916-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 LAKESHORE DR",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338631",
            "telephone_number": "610-916-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIMLINE",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa May Baer, LPN
• John Albert Bakerofskie, M.A.
• Ashley Barber
• Victoria Beane
• Berks Hypnosis and Counseling Services LLC
• Lisa J Bodor
• Courtney Michelle Bottorf, OTR/L
• David W Bowers, MD
• Elizabeth Brackbill, MD
• David W Brant, LPC

• Athletic Trainer in Leesport, PA
• Providers in Leesport, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.