Active NPI
Matthew Wayne Smith, ATC
- Athletic Trainer
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003204
- Practice address
- 872 Ohio Pike
Cincinnati, OH 45245-2204 - Phone
- (513) 947-9115
- NPI assigned
- May 18, 2010
- 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 | 003204 | OH | Primary |
Addresses
Primary practice location
872 Ohio Pike
Cincinnati, OH 45245-2204
Mailing address
3868 McMann Rd
Cincinnati, OH 45245-2306
Phone (513) 258-2343
Other practice location 1
3976 N Hampton Dr
Powell, OH 43065-8443
Phone (513) 295-1756
Other practice location 2
2107 Rombach Ave
Wilmington, OH 45177-2099
Phone (513) 843-7716
Other practice location 3
3158 Glenmore Ave
Cincinnati, OH 45211-6449
Phone (513) 843-7716
Other practice location 4
9549 Montgomery Rd Ste 100
Montgomery, OH 45242-7238
Phone (513) 843-7716
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003204 | OH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workers Choice Health Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Powell, OH
- NPI 1659593705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1881913770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3868 MCMANN RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452452306",
"telephone_number": "513-258-2343",
"fax_number": "513-718-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 OHIO PIKE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452452204",
"telephone_number": "513-947-9115"
}
],
"practiceLocations": [
{
"address_1": "3976 N Hampton Dr",
"address_purpose": "LOCATION",
"city": "Powell",
"state": "OH",
"postal_code": "430658443",
"country_code": "US",
"telephone_number": "513-295-1756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2107 Rombach Ave",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "OH",
"postal_code": "451772099",
"country_code": "US",
"telephone_number": "513-843-7716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3158 Glenmore Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452116449",
"country_code": "US",
"telephone_number": "513-843-7716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9549 Montgomery Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "OH",
"postal_code": "452427238",
"country_code": "US",
"telephone_number": "513-843-7716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MATTHEW",
"middle_name": "WAYNE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "003204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.