Heriberto Mata, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-013448 Issued in AZ

Practice address

537 N 6TH Ave
Tucson, AZ 85705-8371

Phone

(520) 889-1328

Fax

(520) 889-2355

NPI assigned

May 16, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Reliable Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
  • NPI 1932764545
  NPD (past) Authorized official
• Reliable Nurses, LLC

  • Home Health Agency
  • Tucson, AZ
  • NPI 1629230594
  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1629634456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 N 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857058371",
            "telephone_number": "520-889-1328",
            "fax_number": "520-889-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 N 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857058371",
            "telephone_number": "520-889-1328",
            "fax_number": "520-889-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "HERIBERTO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-013448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mastrangelo, M.ED. BCBA
• Kassandra Marie Mastras
• Lacey Brooke Mastroberte-Padd, DVM
• Emi Masuda, M.D.
• Celia Iturralde Mata, R.N.
• Isabella Mata
• Jessica Mata, PT, DPT
• Valerie Marie Mata, CASE MANAGER
• Toni Jo Mataczynski, OTR/L
• Marc Nino Bala Matanza, RRT

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.