Matthew Joseph Mazick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016202 Issued in GA

Practice address

527 Tuskegee Airman Ave
Building 500
Sheppard Afb, TX 76311

Phone

(940) 676-1092

NPI assigned

Jul 25, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1235616095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CHILDRESS ST",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763114306",
            "telephone_number": "478-954-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMAN AVE",
            "address_2": "BUILDING 500",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "76311",
            "telephone_number": "940-676-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZICK",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3761",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Klepczyk, DMD
• Lisa A Kuhar, MD, MPH
• Daniel Ray Lane, LMSW
• Luigi Angelo Regalado Lorenzo
• Jodi Lee Masoncup, RDN
• William Joseph McAllister, PT, DPT
• Paula Marie McCabe, MS, CCC-A
• Nicole McCarthy, CLC, CBS
• Joshua Mark Mehlhaff, DDS
• Erica J Mendoza, LCSW

• Physical Therapist in Sheppard Afb, TX
• Providers in Sheppard Afb, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.