Individual provider Active NPI

Matthew Cutts, ATC

  • Athletic Trainer
  • Phoenix, AZ
National Provider Identifier
1942623087
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1195 Issued in AZ
Practice address
3535 E Mayo Blvd
Phoenix, AZ 85050-4880
Phone
(602) 449-4078
NPI assigned
Jan 24, 2014
Last updated
Jan 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1195 AZ Primary

Addresses

Primary practice location

3535 E Mayo Blvd
Phoenix, AZ 85050-4880

Mailing address

3535 E Mayo Blvd
Phoenix, AZ 85050-4880
Phone (602) 449-4078

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

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1942623087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504880",
            "telephone_number": "602-449-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504880",
            "telephone_number": "602-449-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTS",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.