Matt Lineberry, PTA

Individual provider Active NPI Physical Therapist · Waynesboro, TN

NPI 1245867498 · NPPES record last updated Mar 26, 2020

Key facts

NPI
1245867498
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6813 (TN)
Practice address
905 Collinwood Hwy
Waynesboro, TN 38485-3859
Phone
(931) 332-1700
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6813 TN Yes

Addresses

Primary practice location

905 Collinwood Hwy
Waynesboro, TN 38485-3859

Mailing address

905 Collinwood Hwy
Waynesboro, TN 38485-3859
Phone (931) 332-1700

Other identifiers

IdentifierTypeStateIssuer
6813OtherTNPHYSICAL THERAPIST ASSISTANT

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Mlineberry21@hotmail.com

Other providers in Waynesboro, TN

All providers in Waynesboro, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.