Mary Delia Tower-Matteson, PT

Key facts

NPI

1104130798

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

040-0003389 (VT)

Practice address

115 Williams Road
Hampton, NY 12837-2415

Phone

(518) 642-1660

NPI assigned

Aug 6, 2010

Sex

Female

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2010.

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1104130798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WILLIAMS ROAD",
            "city": "HAMPTON",
            "state": "NY",
            "postal_code": "128372415",
            "telephone_number": "518-642-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILLIAMS ROAD",
            "city": "HAMPTON",
            "state": "NY",
            "postal_code": "128372415",
            "telephone_number": "518-642-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWER-MATTESON",
        "first_name": "MARY",
        "middle_name": "DELIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NY

• Brianna Ettori I, MA, CAGS
• Denise C. Frandino, LCSW
• Daniel John Martin, MS LCMHC LADC

All providers in Hampton, NY · Physical Therapist in New York