Brandon Matthews

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

203 Old Military Rd
Lake Placid, NY 12946-1738

Phone

(518) 523-8580

NPI assigned

Sep 7, 2019

Last updated

Jun 10, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1801445358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 SENTINEL RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129463645",
            "telephone_number": "718-916-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OLD MILITARY RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461738",
            "telephone_number": "518-523-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colette Lettero
• Donald Peter Light, RPH
• Holli P Lynch, SPEECH AND HEARING
• Mara Lynn Mariani, DDS
• Jeremy Marra, ATC,CSCS
• Woods McCahill, M.D.
• Katie McDowell, CF-SLP
• Crystal L McHugh, PT
• Dana Kaitlyn Megin, DPT
• Peter Andrew Meister

• Athletic Trainer in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Athletic Trainer in New York

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