Matrix Rehabilitation Delaware, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATRIX REHABILITATION DELAWARE, INC

Practice address

642 S Queen St
Suite 101
Dover, DE 19904-3506

Phone

(302) 674-1269

Fax

(302) 674-1749

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jayne Fleck Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other names 1

• Barker Therapy & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Matrix Rehabilitation Delaware, Inc

  • Physical Therapy Clinic/Center
  • Ocean View, DE
  • NPI 1639109861

  O20031211000216

  Same enrollment
• Matrix Rehabilitation Delaware, Inc

  • Physical Therapy Clinic/Center
  • Smyrna, DE
  • NPI 1740210970

  O20031211000216

  Same enrollment
• Matrix Rehabilitation Delaware, Inc

  • Physical Therapy Clinic/Center
  • Milford, DE
  • NPI 1952331167

  O20031211000216

  Same enrollment

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Matrix Rehabilitation -South Carolina Inc

  • Physical Therapy Clinic/Center
  • West Columbia, SC
  • NPI 1487946109

  Member Of

  NPD member
• Matrix Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Fountain Valley, CA
  • NPI 1174568539

  Member Of

  NPD member
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Upland, CA
  • NPI 1619011160

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharna' Garrett, DPT

  • Physical Therapist
  • Dover, DE
  • NPI 1821173923
  NPD (past)
• Mary Harshman, PT, DPT

  • Physical Therapist
  • Georgetown, DE
  • NPI 1306564018
  NPD (past)
• William Gregory Koshinskie, DPT

  • Physical Therapist
  • Ocean View, DE
  • NPI 1215028337
  NPD (past)
• Brenna Whalen, OTR, CHT

  • Occupational Therapist
  • Ocean View, DE
  • NPI 1346751005
  NPD (past)
• Rachel L Costantino, DPT

  • Physical Therapist
  • Oxon Hill, MD
  • NPI 1629701271
  NPD (past)
• Dominique Renee Dushuttle, MSPT

  • Physical Therapist
  • Beverly Hills, FL
  • NPI 1538260302
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1013947217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157015245",
            "telephone_number": "724-465-3496",
            "fax_number": "215-413-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S QUEEN ST",
            "address_2": "SUITE 101",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043506",
            "telephone_number": "302-674-1269",
            "fax_number": "302-674-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION DELAWARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "FLECK",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barker Therapy & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Jill Maser, FNP
• Matthew Massaro, DO
• Emily Jeanne Massey, M.D.
• Paula Mast
• Zachary Nova Masterson, PHARMD
• Matrx Health Inc.
• Mattern & Associates, MD'S, PA
• Michael Lyn Mattern, M.D.
• Cherritta Matthews
• Richard Matthews Jr.

• Physical Therapy Clinic/Center in Dover, DE
• Providers in Dover, DE by specialty
• Physical Therapy Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.