Matthew Agner, CTRS
Individual provider Active NPI Recreation Therapist · Salisbury, NC
NPI 1134728611 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1134728611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Recreation Therapist 225800000X
- Practice address
- 1601 Brenner Ave
Salisbury, NC 28144-2515 - Phone
- (704) 638-9000
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist |
225800000X | Yes |
Addresses
Primary practice location
1601 Brenner Ave
Salisbury, NC 28144-2515
Mailing address
1601 Brenner Ave
Salisbury, NC 28144-2515
Other providers in Salisbury, NC
- Adult Respiratory Diagnostic Services, PC
- Advanced Prosthetics & Orthotics LLC
- Aevum BH NC LLC
- Shelley Louise Africa-Floyd
- Abayomi Aderemi Agbebi
- Tammie G Agner
- Dominic Edward Agresta
- Zeeshan Naseer Ahmad
- Bonnie E. Aiken
- Andrea Michelle Aitken
All providers in Salisbury, NC · Recreation Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.