Chris Topher J Matan, PHYSICAL THERAPIST

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1134172 Issued in CT

Practice address

54 W Avon Rd
Suite 202
Avon, CT 06001-3680

Phone

(860) 675-0357

Fax

(860) 675-0358

NPI assigned

Aug 11, 2006

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

Other names 1

• Mr. Christopher J Matan Professional name

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.

• Valley Sports Physicians & Orthopedic Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Avon, CT
  • NPI 1871799635
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1598776940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W AVON RD",
            "address_2": "SUITE 202",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013680",
            "telephone_number": "860-675-0357",
            "fax_number": "860-675-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W AVON RD",
            "address_2": "SUITE 202",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013680",
            "telephone_number": "860-675-0357",
            "fax_number": "860-675-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAN",
        "first_name": "CHRIS TOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "1134172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "MATAN",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "PHYSICAL THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathryn Teresa Marolda, LCSW
• Jane Marques
• Karen E Marrocco, ATC
• Masonicare
• Dawn Marie Massey, NP-BC
• Elizabeth Ruel Matern, M.D. PSYCHIATRIST
• Aurora Maugeri
• Maxi Drug Inc
• Gabriel May, DPT
• Tammy P Mayo, PT, ATC

• Orthopedic Physical Therapist in Avon, CT
• Providers in Avon, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.