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Matthew Huderle , ATC

Specialist/Technologist - Athletic Trainer β€’ Duluth, MN

Active NPI 1114463775 Individual Practitioner Male Practitioner
Practice location in NPPES

1000 E 1st St Ste 400
Duluth, MN 558052297

Call 2187225513 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1000 E 1st St Ste 400

Duluth, MN 558052297

Telephone 2187225513
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Amherst, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Duluth and Minnesota

59 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Duluth, MN (1,030 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

0% of these 59 clinicians have the CMS telehealth indicator.

0% of these 59 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES MN 3128

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

4949 Harlem Rd

Amherst, NY 142262500

Phone: 7162043240

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Hakan Binek , PA-C

Physician Assistant - Surgical

NPI 1043705460

Physician Assistant (Certified)

James Cross

Physician Assistant

NPI 1346907151
Dr. Matthew Davies , MD

Neurological Surgery

NPI 1205279510

Doctor of Medicine (M.D.)

Nicole Duncan , OTR, L, CHT

Occupational Therapist - Hand

NPI 1528164571

Occupational Therapist Registered, L, Certified Hand Therapist

Dr. Ann Farley , DO

Physical Therapist

NPI 1851870018

Doctor of Osteopathic Medicine (D.O.)

Dr. Cory Gebhard , PT, DPT

Physical Therapist

NPI 1912416173

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location May 02, 2019

Registered at 1000 E 1ST ST STE 400, DULUTH, MN 558052297 (Tel: 2187225513)

πŸ“
Updated Business Mailing Address May 02, 2019

Registered at 1000 E 1ST ST STE 400, DULUTH, MN 558052297 (Tel: 2187225513)

πŸ‘€
Provider Name / Credentials Updated May 02, 2019

Recorded as MATTHEW HUDERLE, ATC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2019

Specialist/Technologist (license number reported to NPPES: MN 3128)

βœ…
NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 06, 2017

Registered at 4949 HARLEM RD, AMHERST, NY 142262500 (Tel: 7162043240)

πŸ“
Business Mailing Address (Initial Record) January 06, 2017

Registered at 4949 HARLEM RD, AMHERST, NY 142262500

πŸ‘€
Provider Name / Credentials (Initial Record) January 06, 2017

Recorded as MATTHEW HUDERLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Specialist/Technologist (license number reported to NPPES: NY 003112-1)

🟒
Initial NPI Registration & Enumeration January 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114463775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2017
Last Update: May 02, 2019
Sole Proprietor: No

Mailing Address

1000 E 1st St Ste 400

Duluth, MN 558052297

Phone: 2187225513

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.