Jon R Mathis

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

661 13TH Ave
Prospect Park, PA 19076-1202

Phone

(610) 657-2294

NPI assigned

Mar 6, 2019

Sex

Male

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Performance Physical TherapyGroup PAC ID 7719311661, 6 clinicians

Practice addresses (Care Compare)

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.

• Precision Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Garnet Valley, PA
  • NPI 1346886736
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1063970291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 13TH AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761202",
            "telephone_number": "610-657-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 13TH AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761202",
            "telephone_number": "610-657-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "JON",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Kienzle, MS, LAT, ATC
• Albert Scott Lakernick, D.C.
• April Leffler, MA
• Maleshia LLC
• Erin Martin, DPT
• Casey McCartin
• Victoria McCollum
• Paul Eugene McDuffy, FNP
• Brian P Morley, DO
• Mukesh Patel M.D

• Athletic Trainer in Prospect Park, PA
• Providers in Prospect Park, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.