Ann Elizabeth Matson-Logue, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005430L Issued in PA

Practice address

1798 Old Route 220 N
Suite 103
Duncansville, PA 16635-8341

Phone

(814) 696-3400

Fax

(814) 696-3402

NPI assigned

Nov 10, 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

• Miss Ann Elizabeth Matson Former name

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609947977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 CHRIS ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489661",
            "telephone_number": "814-696-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 OLD ROUTE 220 N",
            "address_2": "SUITE 103",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358341",
            "telephone_number": "814-696-3400",
            "fax_number": "814-696-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON-LOGUE",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005430L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "MATSON",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.