Matrix Rehabilitation-Georgia Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MATRIX REHABILITATION-GEORGIA INC

Doing business as

Physiotherapy Associates-Marietta

Practice address

335 Roselane St NW
Suite 201
Marietta, GA 30060-7902

Phone

(770) 514-1410

Fax

(770) 514-8510

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Tarvin

Title

Vice President and Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Physiotherapy Associates-Marietta Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • Tucker, GA
  • NPI 1053342444

  O20020823000004

  Same enrollment
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • Stockbridge, GA
  • NPI 1518998970

  O20020823000004

  Same enrollment

Tax ID family

Matrix Rehabilitation-Georgia Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1427089853
  NPD tax ID
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • Stockbridge, GA
  • NPI 1518998970
  NPD tax ID
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1639115272
  NPD tax ID
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1659302966
  NPD tax ID
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1972678605
  NPD tax ID
• Physio

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1811379746
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Matrix Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Fountain Valley, CA
  • NPI 1174568539

  Member Of

  NPD member
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Upland, CA
  • NPI 1619011160

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1356372585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "770-514-1410",
            "fax_number": "770-514-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION-GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiotherapy Associates-Marietta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physiotherapy Associates-Marietta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah N Mathis, NP
• Pramod Mathur
• Sulis Marie Matos Reyes, DC
• Matria Healthcare, Inc.
• Matria Healthcare, Inc.
• Matthew J. Novak, MD, P.C.
• Anjhari Matthews, NP
• Cynthia Jeannette Matthews
• David A. Matthews, M.D.
• Kayla Matthews

• Rehabilitation Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.