Ellen K Juzba, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

940 Issued in MA

Practice address

159 Crossover Road
Beulaville, NC 28518

Phone

(910) 298-6455

Fax

(910) 298-6405

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ellen K Matuza Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Carolina Rehabilitation Inc

  • Physical Therapist
  • Supply, NC
  • NPI 1427142561
  NPD
• Edwards and Associates Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Beulaville, NC
  • NPI 1720670862
  NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1467528141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST",
            "address_2": "360",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043581",
            "telephone_number": "413-734-8440",
            "fax_number": "413-731-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CROSSOVER ROAD",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "28518",
            "telephone_number": "910-298-6455",
            "fax_number": "910-298-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUZBA",
        "first_name": "ELLEN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MATUZA",
            "middle_name": "K",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica H. Jones, MS
• Jennifer Rose Jones, LCMHCA, LCASA
• Kendra K. Jones, MS
• Michael B. Jones, MA
• Robert Jones, LCMHC
• Emily Rose Keith, PHARMD
• Billy Gene Kennedy, LCAS
• Jennifer Kennedy
• Tina B Kennedy, FNP
• Kerr Drug Inc

• Physical Therapy Assistant in Beulaville, NC
• Providers in Beulaville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.