Active NPI
Patricia Arlene Matela, P.T.
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1346453255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1365
- Practice address
- 2222 N Nevada Ave
Colorado Springs, CO 80907-6819 - Phone
- (719) 776-5278
- Fax
- (719) 776-2534
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1365 | CO | Primary |
Addresses
Primary practice location
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Mailing address
53 Crystal Park Rd.
Manitou Springs, CO 80829-2525
Phone (719) 322-5966
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1365 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346453255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CRYSTAL PARK RD.",
"city": "MANITOU SPRINGS",
"state": "CO",
"postal_code": "808292525",
"telephone_number": "719-322-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N NEVADA AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076819",
"telephone_number": "719-776-5278",
"fax_number": "719-776-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATELA",
"first_name": "PATRICIA",
"middle_name": "ARLENE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "1365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.