Active NPI
Matthew J Schaller, ATC
- Athletic Trainer
- Knoxville, TN
National Provider Identifier
1932676707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 590
- Practice address
- 9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204 - Phone
- (865) 560-8550
- Fax
- (865) 560-8551
- NPI assigned
- Oct 30, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 590 | TN | Primary |
Addresses
Primary practice location
9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Mailing address
9129 Cross Park Dr Ste 101
Knoxville, TN 37923-4505
Phone (865) 694-7725
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 |
|---|---|---|---|
| 590 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1932676707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9129 CROSS PARK DR STE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234505",
"telephone_number": "865-694-7725",
"fax_number": "865-694-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 PARK WEST BLVD STE 230",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234204",
"telephone_number": "865-560-8550",
"fax_number": "865-560-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHALLER",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.