Michael J Matzek, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000005389 Issued in TN

Practice address

1125 Grove St
Ste 120
Loudon, TN 37774-3251

Phone

(865) 458-8080

Fax

(865) 458-4111

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Additions Therapy, LLC

  • Rehabilitation Clinic/Center
  • Loudon, TN
  • NPI 1689622300
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1376743591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 GROVE ST",
            "address_2": "STE 120",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377743251",
            "telephone_number": "865-458-8080",
            "fax_number": "865-458-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 GROVE ST",
            "address_2": "STE 120",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377743251",
            "telephone_number": "865-458-8080",
            "fax_number": "865-458-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZEK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000005389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Magee, PT
• John Samuel Marcy, M.D.
• Lori Suzanne Martin, LADAC II, NCAC II
• Robert P Martyn, M.D.
• Christopher Calvin Mathews, D.P.T.
• Paul Mayhew, DDS
• Mason Reid McIntosh
• Jamie McLemore, NP
• Michael E Bowman DDS PC
• Patricia Marie Miller, RDN

• Physical Therapist in Loudon, TN
• Providers in Loudon, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.