Taylor Tubertini Mattina, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT-7129 Issued in MS

Practice address

12449 US 49
Suite C
Gulfport, MS 39503-3950

Phone

(228) 872-6836

NPI assigned

Jul 13, 2021

Last updated

Oct 12, 2021By the provider in NPPES

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

• Taylor Tubertini Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Exceed Physical Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1023508348
  Medicare reassignment Care Compare group
• Exceed of Ms, LLC

  dba Exceed Physical Therapy of Biloxi

  • Physical Therapist
  • Biloxi, MS
  • NPI 1023895398
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1194397893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 COURTHOUSE RD APT 924",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395074288",
            "telephone_number": "228-324-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12449 US 49",
            "address_2": "SUITE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033950",
            "telephone_number": "228-872-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINA",
        "first_name": "TAYLOR",
        "middle_name": "TUBERTINI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "PT-7129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ptsolutions.com/clinics/gulfport/",
            "affiliation": "N",
            "endpointDescription": "PT Solutions Gulfport",
            "address_1": "12449 US 49",
            "address_2": "Suite C",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395033950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "TUBERTINI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul G Matherne, MD
• Lezlie Mathews, CFNP
• Analeicia Matthews
• Arthur M Matthews Jr., MD
• Sandra Matthews, NP-C
• Kevin Richard Mattos, IDC
• Alex May, COTA
• Cheryl May, CSS
• Jennifer Boudreaux May
• Jonathan May

• Physical Medicine & Rehabilitation Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.