Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly M Mata

Individual provider Athletic Trainer · NPI 1679339717

Kimberly M Mata is an Athletic Trainer in Greenwich, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

49 S Water St Apt 2R
Greenwich, CT 06830-6819
Phone: (203) 962-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1679339717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address49 S Water St Apt 2r, Greenwich, CT 06830-6819

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