NPI 1023523016

Matthew Johnson

Practitioner Athletic Trainer Enfield, CT

Practice location

Address: 51 Armstrong Rd, Enfield, CT 06082-2731
Phone: (860) 763-4636

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT.0002758 (CO)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1023523016
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2017
Record last updated: 13 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.