Active NPI
Matt Mignot, PHYSICAL THERAPIST
- Physical Therapist
- Saint Marys, PA
National Provider Identifier
1467075457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024655
- Practice address
- 757 Johnsonburg Rd
Saint Marys, PA 15857-3488 - Phone
- (800) 841-9397
- NPI assigned
- May 25, 2020
- Sex
- Male
- Sole proprietor
- No
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 | PT024655 | PA | Primary |
Addresses
Primary practice location
757 Johnsonburg Rd
Saint Marys, PA 15857-3488
Mailing address
757 Johnsonburg Rd
Saint Marys, PA 15857-3488
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 |
|---|---|---|---|
| PT024655 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1467075457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 JOHNSONBURG RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 JOHNSONBURG RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573488",
"telephone_number": "800-841-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGNOT",
"first_name": "MATT",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-25",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.