Active NPI
Matthew Felix Carlson, MS, ATC, CSCS
- Athletic Trainer
- Winter Park, FL
National Provider Identifier
1821406133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- Rollins College
1000 Holt Ave-2730
Winter Park, FL 32789 - Phone
- (407) 646-2628
- NPI assigned
- Jul 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
Rollins College
1000 Holt Ave-2730
Winter Park, FL 32789
Mailing address
1751 36TH Ave S Apt 208
Grand Forks, ND 58201-7349
Phone (813) 503-4071
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1821406133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 36TH AVE S APT 208",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582017349",
"telephone_number": "813-503-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROLLINS COLLEGE",
"address_2": "1000 HOLT AVE-2730",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-646-2628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "MATTHEW",
"middle_name": "FELIX",
"credential": "MS, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-30",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.