Active NPIIndividual providerSole proprietor

Matthew Carroll, MS, ATC

Specialist/Technologist, Athletic Trainer in Storrs, Connecticut

NPI Number1780152025
Practice location
505 Jim Calhoun Way, Storrs, CT 06268-1728
Fax
—
Last updated
November 5, 2018

Matthew Carroll is a Specialist/Technologist, Athletic Trainer based in Storrs, CT. Matthew Carroll practices in Storrs, CT and has the professional credentials of MS, ATC. The NPI Number for Matthew Carroll is 1780152025 and holds a License No. 1406 (CT). The current practice location address for Matthew Carroll is 505 Jim Calhoun Way, Storrs, CT 06268-1728 and can be reached out via phone at 860-208-3490.

Provider Profile Details

NPI Number
1780152025
Provider Name
Matthew Carroll
Credential
MS, ATC
Provider Entity Type
Individual
Gender
Male
Address
505 Jim Calhoun Way, Storrs, CT 06268-1728
Phone Number
860-208-3490
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2018
Last Update Date
November 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
505 Jim Calhoun Way
Storrs, CT 06268-1728
City
Storrs
Zip
06268-1728
Phone Number
860-208-3490
Storrs, CT 06268Get directions →

Provider Business Mailing Address Details

Address
505 Jim Calhoun Way
Storrs, CT 06268-1728
City
Storrs
State
CT
Zip
06268-1728

License Information

License Number
1406
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 Carroll, MS, ATC?

The NPI number of Matthew Carroll, MS, ATC is 1780152025. It was assigned on November 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Matthew Carroll, MS, ATC?

Matthew Carroll, MS, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 1406.

Where does Matthew Carroll, MS, ATC practice?

The practice location is 505 Jim Calhoun Way, Storrs, CT 06268-1728. The office can be reached at 860-208-3490 (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 1780152025 directly on the NPPES registry website.

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