Matthew M Powers, PT DPT – Physical Therapist

Key facts

NPI: 1184028052
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
Practice address: 12371 Hwy 90
Ste D
Luling, LA 70070
Phone: (985) 331-1001
Fax: (985) 331-1005
NPI assigned: Oct 21, 2014
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X			Yes

Addresses

Primary practice location

12371 Hwy 90
Ste D
Luling, LA 70070

Mailing address

12371 Hwy 90
Ste D
Luling, LA 70070
Phone (985) 331-1001

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 21, 2014.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1184028052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 HWY 90",
            "address_2": "STE D",
            "city": "LULING",
            "state": "LA",
            "postal_code": "70070",
            "telephone_number": "985-331-1001",
            "fax_number": "985-331-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 HWY 90",
            "address_2": "STE D",
            "city": "LULING",
            "state": "LA",
            "postal_code": "70070",
            "telephone_number": "985-331-1001",
            "fax_number": "985-331-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

All providers in Luling, LA · Physical Therapist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2014. 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.

Verify at the official NPI Registry.