Maria Melanie Matta Arteman, PT

Primary specialty

ContractorTaxonomy code 171W00000X

License

070014689 Issued in IL

Practice address

518 W Romeo B Garrett Ave
Peoria, IL 61605-2319

Phone

(718) 704-4447

NPI assigned

Mar 19, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Melanie Jacinto Matta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Access Therapies at Home

  dba NA

  • Non-Pharmacy Dispensing Site
  • Indianapolis, IN
  • NPI 1255364758
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013031897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S OKLAHOMA AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615509077",
            "telephone_number": "718-704-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W ROMEO B GARRETT AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052319",
            "telephone_number": "718-704-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 W 71st St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462782711",
            "country_code": "US",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARTEMAN",
        "first_name": "MARIA MELANIE",
        "middle_name": "MATTA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": "070014689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA MELANIE",
            "last_name": "MATTA",
            "middle_name": "JACINTO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Lynn Arnold, PHARMD
• Sydney Arnold, CRNA
• Thomas Alexander Arns, MD
• Mamta Arora, P.T.
• Ashley R Arreguin, APN
• Mohammad Fahad Bin Asad, MD
• Muhammad Nouman Asghar, MD
• Clara Ash
• Elizabeth E Ash, M.S. CCC-SLP
• Julie E Ashbacher, APN

• Contractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.