Matthew Jo Gage, PHD, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002093 Issued in VA

Practice address

1971 University Blvd
Lynchburg, VA 24515-1903

Phone

(434) 592-3763

Fax

(434) 582-7261

NPI assigned

Nov 2, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1669758728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 BRIDLEWOOD LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478029269",
            "telephone_number": "812-237-3961",
            "fax_number": "812-237-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 UNIVERSITY BLVD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245151903",
            "telephone_number": "434-592-3763",
            "fax_number": "434-582-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "MATTHEW",
        "middle_name": "JO",
        "name_prefix": "Prof.",
        "credential": "PHD, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William P Gada, MD
• Ashwini Gadalay, MD
• Melissa Gaddy
• Samkon K Gado, MD
• Joshua Gaede
• Riley Rhea Gaines, RN
• Natasha Clarise Gaito
• Sylvia Miller Gallagher, LPC
• Benjamin Aaron Galley, MS, ATC, PES
• Briana Gallinar

• Athletic Trainer in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.