Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558719963 Individual Practitioner Male Practitioner

Kyle Matthewson , ATC

Specialist/Technologist - Athletic Trainer • Granville, OH

Professional Overview & Biography Verified Profile Summary

Kyle Matthewson, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Granville, OH. Practice services are available at 100 W COLLEGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 W College St

Granville, OH 430231100

Telephone 7405878641

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Granville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Granville, OH (2413 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 OH AT004566

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.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

State License GA AT002638

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Secondary Practice Locations

501 16th Ave N, Apt. G4

Phenix City, AL 368696871

Phone: 7405902916

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jenavieve Kirwin

Nurse Practitioner - Family

NPI 1205762374
Benjamin Tate , MS, ATC

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1477170603

Master of Science, Certified Athletic Trainer

Benjamin Lucas , AT

Specialist/Technologist - Athletic Trainer

NPI 1548043714
Scott Enneking

Specialist/Technologist - Athletic Trainer

NPI 1710796529
Joseph Casedonte

Specialist/Technologist - Athletic Trainer

NPI 1881253227
Patricia Harris

Specialist/Technologist - Athletic Trainer

NPI 1902372352

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Military Health Care Provider (License #AT002638 in GA)

NPI Profile Active December 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2017

Registered at 100 W COLLEGE ST, GRANVILLE, OH 430231100 (Tel: 7405878641)

📍
Updated Business Mailing Address December 29, 2017

Registered at 612 ESSEN PL, WESTERVILLE, OH 430813457 (Tel: 7405902916)

👤
Provider Name / Credentials Updated December 29, 2017

Recorded as KYLE MATTHEWSON, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2017

Specialist/Technologist (License #AT004566 in OH)

NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2016

Registered at 501 16TH AVE N, APT. G4, PHENIX CITY, AL 368696871 (Tel: 7405902916)

📍
Updated Business Mailing Address May 25, 2016

Registered at 501 16TH AVE N, APT. G4, PHENIX CITY, AL 368696871 (Tel: 7405902916)

👤
Provider Name / Credentials Updated May 25, 2016

Recorded as KYLE MATTHEWSON, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Military Health Care Provider (License #AT002638 in GA)

🟢
Initial NPI Registration & Enumeration May 25, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558719963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2016
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

612 Essen Pl

Westerville, OH 430813457

Phone: 7405902916

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.