Matthew Charles Piechoski, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6016 Issued in TX

Practice address

1500 S University Parks Dr
Waco, TX 76706-1731

Phone

(254) 710-7235

NPI assigned

Jun 25, 2008

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

State licenses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1679735294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 MITCHELL AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767082662",
            "telephone_number": "254-644-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S UNIVERSITY PARKS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767061731",
            "telephone_number": "254-710-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECHOSKI",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "credential": "ATC, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Assistant Services of Texas L.L.P
• Physicians Management Services LLC
• Physicians Surgery Center of Waco
• Catherine Ann Piar, PTA
• Mary Pickler, MS, RD, LD
• Kelley Pierce, LPC
• Raymond Pierre
• Vanessa Lynn Pierson
• Darrell R Pietsch, M.D.
• Devanee Pillay-Edwards, PMHNP-BC

• Athletic Trainer in Waco, TX
• Providers in Waco, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.