Individual provider Active NPI

Matthew Sabin, PHD, ATC, LAT

  • Athletic Trainer
  • Richmond, KY
National Provider Identifier
1780006726
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT914 Issued in KY
Practice address
521 Lancaster Ave
Moberly Building, RM 231
Richmond, KY 40475-3100
Phone
(859) 622-8149
Fax
(859) 622-1254
NPI assigned
Jan 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT914 KY Primary

Addresses

Primary practice location

521 Lancaster Ave
Moberly Building, RM 231
Richmond, KY 40475-3100

Mailing address

521 Lancaster Ave
Moberly Building, RM 231
Richmond, KY 40475-3100
Phone (859) 622-8149

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AT914KYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1780006726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LANCASTER AVE",
            "address_2": "MOBERLY BUILDING, RM 231",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753100",
            "telephone_number": "859-622-8149",
            "fax_number": "859-622-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LANCASTER AVE",
            "address_2": "MOBERLY BUILDING, RM 231",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753100",
            "telephone_number": "859-622-8149",
            "fax_number": "859-622-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.