Jenna Antonette Mattera, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22483 Issued in MA

Practice address

2 Cedar St
Woburn, MA 01801-7248

Phone

(781) 521-3336

NPI assigned

Jan 8, 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)

Enrolled

State licenses

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.

• Mattera Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Woburn, MA
  • NPI 1720759947
  NPD Authorized official

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1275040586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HIGH ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021512318",
            "telephone_number": "781-521-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CEDAR ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017248",
            "telephone_number": "781-521-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERA",
        "first_name": "JENNA",
        "middle_name": "ANTONETTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massachusetts Ear Nose and Throat Associates 4 LLC
• Massachusetts ENT Consultants LLC
• Massachusetts Medical & Physical Therapy Associates Inc.
• Ashley Mastaj, DPT
• Mattera Physical Therapy LLC
• Mollie A Maturah
• Gail Allex Maurer, MSW, LICSW
• Christopher M Mauro, LICSW
• Jessie Mayes, MSW LICSW
• Melody Mayor, OT

• Physical Therapist in Woburn, MA
• Providers in Woburn, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.