Matthew Harold Altman, PTA
Individual provider Active NPI Physical Therapy Assistant · Fernandina Beach, FL
NPI 1043712904 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1043712904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PT28249 (FL)
- Practice address
- 1885 S 14TH St
Fernandina Beach, FL 32034-3033 - Phone
- (904) 277-4449
- Fax
- (904) 277-4177
- NPI assigned
- Mar 6, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28249 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PT28249 | FL | Yes |
Addresses
Primary practice location
1885 S 14TH St
Fernandina Beach, FL 32034-3033
Mailing address
1885 S 14TH St
Fernandina Beach, FL 32034-3033
Phone (904) 277-4449
Other practice location 1
45390 Green Ave
Callahan, FL 32011-3711
Phone (904) 879-1223
Other providers in Fernandina Beach, FL
- Haydar M Al-Eid
- Batool Alatrash
- Raeann Alboher
- Melvita J Allen
- Alliance Internal Medicine, PLLC
- Amelia Anesthesia, PL
- Amelia Audiology
- Amelia Behavioral Wellness LLC
- Amelia Chiropractic Clinic
- Amelia Dental Group, PLLC
All providers in Fernandina Beach, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.