Thomas J. Matassa, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012203 Issued in NY

Practice address

4427 Douglaston Pkwy
Douglaston, NY 11363-1843

Phone

(718) 281-2861

Fax

(718) 281-0173

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas J. Mata Ssa, P.T., P.C.

  • Physical Therapy Clinic/Center
  • Douglaston, NY
  • NPI 1629215132
  Medicare reassignment NPD Authorized official
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group
• Montefiore Medical Center

  dba Montefiore Community Pharmacy @ CHAM

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Montefiore Medical Center

  • Physical Therapist
  • Douglaston, NY
  • NPI 1477415669
  NPD
• Montefiore Medical Center

  • Family Medicine Physician
  • New York, NY
  • NPI 1760288278
  NPD
• David Nupp, P.T., P.C.

  • Physical Therapy Clinic/Center
  • Levittown, NY
  • NPI 1467446351
  NPD (past)
• Weigh of Life Dietetic Nutrition Consulting PLLC

  • Registered Dietitian
  • Lynbrook, NY
  • NPI 1598069106
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1235194572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PETERHOFF AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651398",
            "telephone_number": "516-596-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 DOUGLASTON PKWY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631843",
            "telephone_number": "718-281-2861",
            "fax_number": "718-281-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATASSA",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery H. Maltz
• Polly Manikakis, MA., CCC-SLP
• Manor Meds Pharmacy Corp.
• Stephanie Maria Marchese I
• Maria Spanos Speech Language Pathologist PC (Babes in Speechland)
• Alison Nicole McAndrew
• James McGeveran, MSW
• Jigna Mehta, RPH
• Marcia Joan Meshel
• Michelle Miller, LMSW

• Physical Therapist in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.