Constance Eileen Matous, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3037 Issued in CA

Practice address

4041 Lone Tree Way Suite # 106
Antioch, CA 94531

Phone

(925) 754-6262

Fax

(925) 754-2198

NPI assigned

Jan 23, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1225536477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 LONE TREE WAY STE 106",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316208",
            "telephone_number": "925-754-6262",
            "fax_number": "925-754-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 LONE TREE WAY SUITE # 106",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94531",
            "telephone_number": "925-754-6262",
            "fax_number": "925-754-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOUS",
        "first_name": "CONSTANCE",
        "middle_name": "EILEEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA3037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Mason
• Erolia Mason
• Peter Bergado Matel, M.D.
• Madeline Mathews
• Alberto A. Matias, PHD
• Mariam Matta
• Tun Tun Maung, MD
• Elizabeth Maya
• Sabrina Mayberry
• Tiana Mayberry

• Physical Therapy Assistant in Antioch, CA
• Providers in Antioch, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.