Christopher Ryan Mathisen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1004075 Issued in PA

Practice address

614 Interchange Rd
Kresgeville, PA 18333-7704

Phone

(272) 639-5350

NPI assigned

Mar 11, 2024

Last updated

Mar 11, 2024By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1407614951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N 5TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351305",
            "telephone_number": "570-778-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 INTERCHANGE RD",
            "city": "KRESGEVILLE",
            "state": "PA",
            "postal_code": "183337704",
            "telephone_number": "272-639-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1004075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon A George, PT
• Heather Helen Graham, DPT
• Steven R Lazicki, PT
• Dalina C Lehman
• Tammy Lynn Lobach, CRNP
• Johanna Lu Matsko
• Thomas Edward Munshower, D.O.
• Sherry Olmstead, PT
• Madison Posivak, CF-SLP
• Patricia Posten, PT

• Physical Therapy Assistant in Kresgeville, PA
• Providers in Kresgeville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.