Active NPI
Matthew Zbikowski, MA, ATC, LAT
- Athletic Trainer
- Saint Cloud, FL
National Provider Identifier
1649785015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL1622
- Practice address
- 2000 Bulldog LN
Saint Cloud, FL 34769-5268 - Phone
- (407) 891-3100
- Fax
- (407) 891-3100
- NPI assigned
- Dec 7, 2017
- Last updated
- Dec 7, 2017
- Sex
- Male
- Sole proprietor
- No
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 | AL1622 | FL | Primary |
Addresses
Primary practice location
2000 Bulldog LN
Saint Cloud, FL 34769-5268
Mailing address
2000 Bulldog LN
Saint Cloud, FL 34769-5268
Phone (407) 891-3100
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL1622 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1649785015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 BULLDOG LN",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347695268",
"telephone_number": "407-891-3100",
"fax_number": "407-891-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BULLDOG LN",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347695268",
"telephone_number": "407-891-3100",
"fax_number": "407-891-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZBIKOWSKI",
"first_name": "MATTHEW",
"credential": "MA, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL1622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.