Matthew O'Donnell

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

O18575297906904 Issued in NJ

Practice address

1441 Schoenersville Rd
Bethlehem, PA 18018-1864

Phone

(610) 625-7210

NPI assigned

Jul 8, 2017

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499472000000",
    "number": "1912429283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 OCEAN RD",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077199008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181864",
            "telephone_number": "610-625-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-08",
        "last_updated": "2017-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "O18575297906904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Joyce O'Brien, MD
• Philip Adam O'Brien, D.C.
• Rachel O'Connell, M.D.
• Jennifer Summers O'Connor
• Kelly O'Donnell
• Rachel Suzanne O'Hagan, MA CCC-SLP
• Kelly Nicole O'Hanlon, MS, LPC
• Donna L O'Neil, CRNP
• Kimberly O'Neil
• Oak Moon Care

• Athletic Trainer in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2017; 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.