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

Matthew Mark Johnson, MS, ATC, CSCS

Individual provider Athletic Trainer · NPI 1770556128

Matthew Mark Johnson, MS, ATC, CSCS is an Athletic Trainer in Mesa, Arizona. Licensed in Arizona, Idaho and Illinois. Registered with an NPI since 2006.

Licensed in
AZ, ID, IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

160 E 6th Pl Fitch Park
Mesa, AZ 85201-5068
Phone: (480) 668-4565
Fax: (480) 668-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0338 (AZ)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-214 (ID)
Athletic Trainer Taxonomy 2255A2300X (IL)

Record details

NPI number1770556128
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , CSCS
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJuly 13, 2026

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