Active NPI
Anne Elizabeth Matz, M.S.,P.T.
- Physical Therapist
- Centralia, WA
National Provider Identifier
1346309838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005562
- Practice address
- 1900 Cooks Hill Rd
Centralia, WA 98531-9073 - Phone
- (360) 330-8627
- Fax
- (360) 330-8786
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005562 | WA | Primary |
Addresses
Primary practice location
1900 Cooks Hill Rd
Centralia, WA 98531-9073
Mailing address
1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 330-8627
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4837MA | Other | WA | REGENCE |
| 8395162 | Medicaid | WA | |
| PT00005562 | Other | WA | LICENSE NUMBER |
| 186324 | Other | WA | L & I |
Other names 1
- Anne Elizabeth Paterson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00005562 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1346309838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 COOKS HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319073",
"telephone_number": "360-330-8627",
"fax_number": "360-330-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 COOKS HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319073",
"telephone_number": "360-330-8627",
"fax_number": "360-330-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATZ",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"credential": "M.S.,P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "4837MA",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8395162",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PT00005562",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "186324",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "PATERSON",
"middle_name": "ELIZABETH",
"credential": "B.S.P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.