Jamie Mattswell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024398 Issued in PA

Practice address

512 E Columbus Ave
Corry, PA 16407-9014

Phone

(814) 664-9346

Fax

(814) 663-0169

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jamie Markwell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seth Enterprises I

  • Physical Therapist
  • Erie, PA
  • NPI 1205946910
  Medicare reassignment NPD
• Seth Enterprises II LLC

  • Physical Therapist
  • Erie, PA
  • NPI 1841300654
  Medicare reassignment NPD
• North Penn Therapeutics and Physical Therapy, Inc

  • Specialist
  • Corry, PA
  • NPI 1083612048
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1003299744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079014",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079014",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSWELL",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032477930003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "512 E Columbus Ave",
            "city": "Corry",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164079014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MARKWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Magnus Home Health, LLC
• Abby Jane Mailliard, MED
• Tanner Martin, DMD
• Masters Physical Therapy, Inc.
• Patrick Lee Mathis, D.C.
• Paul A McGeehan, M.D.
• Mead Avenue Family Practice, Inc.
• Medical Associates of Erie
• Medical Associates of Erie
• Medical Group of Corry, Inc

• Physical Therapist in Corry, PA
• Providers in Corry, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.