Matrix Rehabilitation-Georgia, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATRIX REHABILITATION-GEORGIA, INC.

Practice address

355 Philip Blvd
Suite B
Lawrenceville, GA 30045-8733

Phone

(770) 513-3233

Fax

(770) 513-2905

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dennis J. Fitzpatrick

Title

Cheif Financial Officer

Phone

(610) 644-7824

Specialties & licenses 1

Addresses

Other names 1

• Progressive Sports Medicine Doing business as

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1679519219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013941",
            "telephone_number": "724-465-3496",
            "fax_number": "724-465-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PHILIP BLVD",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458733",
            "telephone_number": "770-513-3233",
            "fax_number": "770-513-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION-GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-644-7824"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Kathleen Mathews, PT, DPT
• Mia M Mathewson, M.D.
• Kendia Mathieu
• Heather Mathis, LPC
• Jamesia Mathis, LPC
• Dashawn Matta
• Tonya Mattei, PAC
• Matthew J. Reschly, MD, PC
• Alison Nichole Matthews, LMSW
• Condrea Shavone Matthews, RN

• Physical Therapy Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.