Thomas J. Mata Ssa, P.T., P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

012203 Issued in NY

Legal business name

THOMAS J. MATA SSA, P.T., P.C.

Practice address

44-27 Douglaston Parkway
Douglaston, NY 11363

Phone

(718) 281-2861

Fax

(718) 281-0173

NPI assigned

Jan 21, 2009

Last updated

Jan 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Joseph Matassa, P.T.NPI 1235194572

Title

President

Phone

(718) 281-2861

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas J. Matassa, P.T.

  • Physical Therapist
  • Douglaston, NY
  • NPI 1235194572
  Medicare reassignment NPD Authorized official
• Vito Anthony Genova, D.P.T.

  • Physical Therapist
  • Bayside, NY
  • NPI 1306288089
  NPD (past)
• David Paul Nupp, PT

  • Physical Therapist
  • Bayside, NY
  • NPI 1548255789
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1629215132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-27 DOUGLASTON PARKWAY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "11363",
            "telephone_number": "718-281-2861",
            "fax_number": "718-281-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-27 DOUGLASTON PARKWAY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "11363",
            "telephone_number": "718-281-2861",
            "fax_number": "718-281-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. MATA SSA, P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "MATASSA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-281-2861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "012203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "Q78781",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "Q78782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guitelle St. Victor
• Robyn Leigh Stern
• Gayle Striar Herman, PSY.D.
• Suny Downstate
• Elizabeth Marisol Tavares, M.A., CCC-SLP
• Joseph Traegler, MS.ED, SBL
• Stephanie Trieu
• Vivian Tsai, M.D.
• Sandra Tylipakis, CCC-SLP
• Cajetan Okechukwu Uchendu, PHD

• Physical Therapy Clinic/Center in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.