Active NPI
Matthew Magnelli, PTA
- Physical Therapy Assistant
- Harlingen, TX
National Provider Identifier
1649552167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2085530
- Practice address
- 2204 Pease St
Harlingen, TX 78550-8308 - Phone
- (956) 425-2812
- NPI assigned
- Sep 10, 2011
- Last updated
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2085530 | TX | Primary |
Addresses
Primary practice location
2204 Pease St
Harlingen, TX 78550-8308
Mailing address
4502 Hummingbird LN S
Harlingen, TX 78552-2424
Phone (724) 699-6756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2085530 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1649552167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 HUMMINGBIRD LN S",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785522424",
"telephone_number": "724-699-6756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 PEASE ST",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508308",
"telephone_number": "956-425-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNELLI",
"first_name": "MATTHEW",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-10",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2085530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
- Martha Elia Madrigal-Ramos
- Maria Delaluz Magana, LVN
- Magdalena Salinas Aprn,FNP-C, Rnfa, PLLC (Next Level Medical Clinic)
- Anthony Maggio, D.D.S.
- Magic Valley Health Services, Inc.
- Ferdinand Lyndon Q Magno, MD
- Sheila Magoon, MD
- Tuan Anh Mai, PHARMD
- Maia Danielson, MD PA
- Lorena Faride Maiorana Davila, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.