Matthew Nicholas Ballos, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019397 Issued in PA

Practice address

2825 Earlystown Rd
Centre Hall, PA 16828-9108

Phone

(814) 364-3290

Fax

(814) 364-3295

NPI assigned

Jul 18, 2008

Last updated

Oct 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fit for Play, Inc

  • Physical Therapy Clinic/Center
  • State College, PA
  • NPI 1639138043

  Physical Therapist

  NPD (past)
• Mount Nittany Medical Center Health Services Inc

  dba Mount Nittany Physician Group

  • Internal Medicine Physician
  • State College, PA
  • NPI 1598992554
  NPD (past)
• Pro Care Health Systems Inc

  • Physical Therapy Clinic/Center
  • Altoona, PA
  • NPI 1205821238
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1083878003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PENN ST",
            "address_2": "SUITE 103",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482044",
            "telephone_number": "814-695-2923",
            "fax_number": "814-695-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 EARLYSTOWN RD",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289108",
            "telephone_number": "814-364-3290",
            "fax_number": "814-364-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOS",
        "first_name": "MATTHEW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Michelle Anders, LCSW
• Delores Jean Aumiller, PT
• Shane J Bronson, PT
• Melanie D Cartwright Kerlin, RN
• Charles J. Falsone P.C. (In Focus Family Vision)
• Debra Cooper
• Charles Erney, PT

• Physical Therapist in Centre Hall, PA
• Providers in Centre Hall, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.