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

Matthew Niesen, ATC

Individual provider Athletic Trainer · NPI 1508256744

Matthew Niesen, ATC is an Athletic Trainer in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida and Hawaii.

Licensed in
FL, HI
In the registry since
2015
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7000 Powers Ave
Jacksonville, FL 32217-3318
Phone: (904) 708-7919
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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 224 (HI)
Athletic Trainer Taxonomy 2255A2300X · Licence AL4715 (FL)

Record details

NPI number1508256744
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing address13494 Sunstone St, Jacksonville, FL 32258-5479

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