Matt Andrews Physical Therapy
Organization Active NPI Physical Therapy Clinic/Center · Muncy Valley, PA
NPI 1669913679 · NPPES record last updated Mar 10, 2017
Key facts
- NPI
- 1669913679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT07995L (PA)
- Legal business name
- MATT ANDREWS PHYSICAL THERAPY
- Practice address
- 14029 Route 42
Muncy Valley, PA 17758 - Phone
- (570) 525-3945
- Fax
- (570) 525-3954
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Matt Andrews, P.T.
- Title
- Owner
- Phone
- (570) 525-3945
Practitioners 1
-
Matthew Craig Andrews, PHYSICAL THERAPIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180319002543 | PA | Part B Supplier - Clinic/Group Practice | 1254616873 |
Receives reassigned benefits from 1 practitioner Practice locations: Eagles Mere, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT07995L | PA | Yes |
Addresses
Primary practice location
14029 Route 42
Muncy Valley, PA 17758
Mailing address
PO Box 373
Eagles Mere, PA 17731-0373
Phone (570) 525-3945
Other providers in Muncy Valley, PA
All providers in Muncy Valley, PA · Physical Therapy Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.