Active NPIIndividual provider

Matthew Leeds, MS, ATC, LAT, CMP

Specialist/Technologist, Athletic Trainer in Ellington, Connecticut

NPI Number1437650181
Practice location
12 Main St Ste 7, Ellington, CT 06029-3361
Fax
—
Last updated
February 27, 2018

Matthew Leeds is a Specialist/Technologist, Athletic Trainer based in Ellington, CT. Matthew Leeds practices in Ellington, CT and has the professional credentials of MS, ATC, LAT, CMP. The NPI Number for Matthew Leeds is 1437650181 and holds a License No. 000801 (CT). The current practice location address for Matthew Leeds is 12 Main St Ste 7, Ellington, CT 06029-3361 and can be reached out via phone at 860-872-7500.

Provider Profile Details

NPI Number
1437650181
Provider Name
Matthew Leeds
Credential
MS, ATC, LAT, CMP
Provider Entity Type
Individual
Gender
Male
Address
12 Main St Ste 7, Ellington, CT 06029-3361
Phone Number
860-872-7500
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2018
Last Update Date
February 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Main St Ste 7
Ellington, CT 06029-3361
Zip
06029-3361
Phone Number
860-872-7500
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
51 Meadow Brook RD Apt 91
Ellington, CT 06029-2230
City
Ellington
State
CT
Zip
06029-2230

License Information

License Number
000801
License State
CT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew Leeds, MS, ATC, LAT, CMP?

The NPI number of Matthew Leeds, MS, ATC, LAT, CMP is 1437650181. It was assigned on February 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Matthew Leeds, MS, ATC, LAT, CMP?

Matthew Leeds, MS, ATC, LAT, CMP is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 000801.

Where does Matthew Leeds, MS, ATC, LAT, CMP practice?

The practice location is 12 Main St Ste 7, Ellington, CT 06029-3361. The office can be reached at 860-872-7500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437650181 directly on the NPPES registry website.

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