Diane B Matlick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01105300 Issued in NJ

Practice address

219 Richmond Ave
New Milford, NJ 07646-2517

Phone

(201) 907-3150

Fax

(201) 907-3155

NPI assigned

Jan 4, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Diane Cohen Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Physical Therapy Limited PartnershipGroup PAC ID 8921261934, 8 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.

• Madison Physical Therapy Limited Partnership

  • Physical Therapist
  • Old Tappan, NJ
  • NPI 1053687566
  Medicare reassignment Care Compare group NPD
• Madison PT of New Jersey, PC

  • Physical Therapist
  • Westwood, NJ
  • NPI 1740369347
  NPD (past)

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1093428138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076460019",
            "telephone_number": "201-907-3150",
            "fax_number": "201-907-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RICHMOND AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462517",
            "telephone_number": "201-907-3150",
            "fax_number": "201-907-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Old Hook Rd # G-01",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076753246",
            "country_code": "US",
            "telephone_number": "201-594-9312",
            "fax_number": "201-594-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLICK",
        "first_name": "DIANE",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01105300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "COHEN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Doron David Marbe, PH.D.
• Dante Marchesani, DPT
• Joseph Martinez, DPT
• Mary Mason, ADVANCED NURSE PRACT
• Merin T Mathew
• Carol Maye, APN-C
• Medex Anesthesia
• Alexis Jordan Michel, LPC
• Mid Bergen Regional Health Commission
• Barbara Millo

• Physical Therapist in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.