Matthew Kyle Barnes, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000025644 Issued in TX

Practice address

100 W Rainbow Ridge Cir
The Woodlands, TX 77381-3023

Phone

(281) 825-9894

NPI assigned

Jul 6, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1952753618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W RAINBOW RIDGE CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813023",
            "telephone_number": "281-825-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W RAINBOW RIDGE CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813023",
            "telephone_number": "281-825-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "MATTHEW",
        "middle_name": "KYLE",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "2000025644",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjanette H Barger, M.S, LMFT-ASSOCIATE
• Amber Renee Barker, LPC-ASSOCIATE
• Shaaron Lee Barlow, NP
• Deena Louise Barnes, M.S.,CCC-SLP
• Latosha Barnes, NP-C
• Sarah B Barnes, NP
• George F. Barratt, DDS
• Ursula Liliana Barreto
• Heather Marie Barrett, PA-C
• Kenlie Reece Barrett

• Athletic Trainer in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.