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Deactivated NPI 1003105701 Deactivated / Inactive NPI Male Practitioner

Matthew John Kelly , ATC

Specialist/Technologist - Athletic Trainer • Springfield, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 04, 2011
NPI Deactivation Date December 28, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Matthew Kelly, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Springfield, MA. Throughout an active medical career spanning 11 years, Matthew Kelly provided care at the practice location at 85 SUMNER AVE APT 5 until profile deactivation on 2022-12-28.

Practice Location & Contact Primary Location

Practice Address

85 Sumner Ave Apt 5

Springfield, MA 011082342

Telephone 2159629420

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
66 Specialists

Practicing in Springfield, MA (1074 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License MA 2160

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated December 28, 2022

Record deactivated on December 28, 2022

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Updated Practice Location January 07, 2020

Registered at 700 E BUTLER AVE, DOYLESTOWN, PA 189012607 (Tel: 2154894458)

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Updated Business Mailing Address January 07, 2020

Registered at 6 SIMA RD, HOLLAND, PA 189662425 (Tel: 2159629420)

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Provider Name / Credentials Updated January 07, 2020

Recorded as MATTHEW KELLY, MS, LAT, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2020

Specialist/Technologist (License #RT004823 in PA)

NPI Profile Active April 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 04, 2011

Registered at 85 SUMNER AVE APT 5, SPRINGFIELD, MA 011082342 (Tel: 2159629420)

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Updated Business Mailing Address April 04, 2011

Registered at 94 LONGVIEW DR, HOLLAND, PA 189661637 (Tel: 2159629420)

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Provider Name / Credentials Updated April 04, 2011

Recorded as MATTHEW KELLY, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2011

Specialist/Technologist (License #2160 in MA)

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Initial NPI Registration & Enumeration April 04, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003105701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2011
Last Update: April 04, 2011
Deactivation Date: December 28, 2022

Mailing Address

94 Longview Dr

Holland, PA 189661637

Phone: 2159629420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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