Tessia Correa De Mattos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045897 Issued in NY

Practice address

415 Main St Apt 11a
New York, NY 10044-0357

Phone

(718) 377-5000

Fax

(718) 377-5002

NPI assigned

Jul 30, 2020

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Flex Physical and Occupational Therapy PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1720409253
  Medicare reassignment NPD
• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Rockville Centre, NY
  • NPI 1205296902

  Physical Therapist

  Medicare reassignment NPD
• Shasta Health Physical Therapy Ny PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1932933264

  Physical Therapist

  Medicare reassignment NPD
• Lifelong Strong Health LLC

  • Home Health Agency
  • Jersey City, NJ
  • NPI 1851035554

  NY, Physical Therapist

  Medicare reassignment NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Whitestone, NY
  • NPI 1487104261

  Physical Therapist

  NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1104376680

  Physical Therapist

  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1023627460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAIN ST APT 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440357",
            "telephone_number": "718-377-5000",
            "fax_number": "718-377-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST APT 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440357",
            "telephone_number": "718-377-5000",
            "fax_number": "718-377-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MATTOS",
        "first_name": "TESSIA",
        "middle_name": "CORREA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrado De Marco, MD
• Kaila De Maria
• Alicia De Marinis
• Noelle Ryan De Martini, PT, DPT
• Ivan De Martino, MD
• Armileo Isaac De Mecano
• Cristiane De Medeiros Passarela
• Michael David De Meo, M.D.
• Maria H De Miguel, MD
• Polly De Mille, RN, ACSM-CEP

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.