Matka Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MATKA PHYSICAL THERAPY PLLC

Practice address

560 31St St
Niagara Falls, NY 14301-2542

Phone

(716) 425-4025

NPI assigned

Jul 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelsey M Walck, PT, DPT

Title

Owner

Phone

(716) 425-4025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1346976610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 CENTER ST # 560",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 31ST ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012542",
            "telephone_number": "716-425-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATKA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "WALCK",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-425-4025",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Nurse Practitioner in Family Medicine PC
• Veronica V Mason, FNP
• Lisa Marie Massaro, BSW
• Anthony James Mastroianni, DDS
• Johnna Matias
• Twila L Matthews, LPN
• Tylin Mauldin
• Lora Maye
• Elizabeth A Mayer
• Jill G. Mazur, M.A.

• Physical Therapist in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.