Mary Matkan, P.T./L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002630L Issued in PA

Practice address

257 Georgetown Road
Beaver Falls, PA 15010

Phone

(724) 846-8200

Fax

(724) 847-2998

NPI assigned

Nov 19, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1083044648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CENTER DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091241",
            "telephone_number": "724-774-0965",
            "fax_number": "724-774-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 GEORGETOWN ROAD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "15010",
            "telephone_number": "724-846-8200",
            "fax_number": "724-847-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATKAN",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "P.T./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002630L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Wargo-Dorsey, DPM
• Lacey M Marks, LCSW
• Demetrios Constantino Marousis, MA, NCC, LPC
• Shelley Lynn Mastrangelo, R.N.
• Match One Medical Marketing Marketing Consultants LLC
• Robert Joseph Matkan
• Michael Matotek, M.ED. CAC LPC
• Chris M Matsko, MD
• Isaac Grant May
• Jonathan K McClure, M.D.

• Physical Therapist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.