Active NPI
Matthew P Piantedosi, MS, ATC, LAT
- Athletic Trainer
- Babson Park, MA
National Provider Identifier
1861881914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1883
- Practice address
- 231 Forest Street
Babson College
Babson Park, MA 02457 - Phone
- (781) 239-5687
- NPI assigned
- Jan 13, 2015
- Last updated
- Jan 13, 2015
- 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 | 1883 | MA | Primary |
Addresses
Primary practice location
231 Forest Street
Babson College
Babson Park, MA 02457
Mailing address
103 Central St
Waltham, MA 02453-5421
Phone (617) 943-4466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1883 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1861881914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CENTRAL ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535421",
"telephone_number": "617-943-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 FOREST STREET",
"address_2": "BABSON COLLEGE",
"city": "BABSON PARK",
"state": "MA",
"postal_code": "02457",
"telephone_number": "781-239-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIANTEDOSI",
"first_name": "MATTHEW",
"middle_name": "P",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Babson Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.