Matthew Carroll, MS, ATC

Athletic Trainer · Storrs, CT

Individual Active NPI

NPI number 1780152025

Practice location

505 Jim Calhoun Way
Storrs, CT 06268-1728
Phone
(860) 208-3490

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NPI record

NPI
1780152025
Entity type
Individual (Type 1)
Enumeration date
November 5, 2018
Last updated
November 5, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1406 CT

About Matthew Carroll

Matthew Carroll, MS, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 505 Jim Calhoun Way, Storrs, CT 06268-1728. The NPI number 1780152025 was assigned on November 5, 2018 and the record was last updated on November 5, 2018.

Matthew Carroll lists a license in the registry: #1406 (CT) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Carroll, MS, ATC?

The NPI number is 1780152025.

What is the phone number of Matthew Carroll?

The phone number listed for the practice location is (860) 208-3490.

Where is Matthew Carroll located?

505 Jim Calhoun Way, Storrs, CT 06268-1728.

What is the taxonomy code for Matthew Carroll?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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