Matthew Billups
Individual provider Active NPI Physical Therapy Assistant · Bartow, FL
NPI 1306207634 · NPPES record last updated Mar 15, 2016
Key facts
- NPI
- 1306207634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA25908 (FL)
- Practice address
- 1575 N Tate Ave
Bartow, FL 33830-3160 - Phone
- (863) 904-7600
- NPI assigned
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA25908 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA25908 | FL | Yes |
Addresses
Primary practice location
1575 N Tate Ave
Bartow, FL 33830-3160
Mailing address
1575 N Tate Ave
Bartow, FL 33830-3160
Phone (863) 904-7600
Other providers in Bartow, FL
- Veronica M Bell
- Gherlig Julieth Beltran
- Melinda Berrien
- Kevin Berry
- Beyond Transport LLC
- Billy B Brown Jr DDS PA
- Bio-Medical Applications of Florida, Inc.
- Lisa Jane Birge
- Amanda Bishop
- James William Bittner
All providers in Bartow, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.