Individual provider Active NPI

Jose Luis Matta, DPT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1699205823
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32653 Issued in FL
Practice address
3344 Gondolier Way
Lake Worth, FL 33462-3622
Phone
(985) 259-1321
NPI assigned
Jun 20, 2017
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32653 FL Primary

Addresses

Primary practice location

3344 Gondolier Way
Lake Worth, FL 33462-3622

Mailing address

3344 Gondolier Way
Lake Worth, FL 33462-3622
Phone (985) 259-1321

Other practice location 1

5130 Linton Blvd Suite H1
Delray Beach, FL 33484-5184
Phone (561) 865-2800

Other practice location 2

3111 W Boynton Beach Blvd Suite 100
Boynton Beach, FL 33436-5184
Phone (561) 742-3283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022002397 FL Practitioner - Physical Therapist in Private Practice 0941532030 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3344 Gondolier Way
Lake Worth, FL 33462-3622
Phone (561) 247-0745

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates PA CurrentSince Feb 24, 2020 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Orthopaedic Surgery Associates, PA CurrentSince Feb 24, 2020 Accepting new patients
Clinical Fitness 101 Corp Physical Therapist CurrentSince Feb 17, 2023 Accepting new patients
Palm Beach Aquatics & Physical Therapy Inc Physical Therapist CurrentSince May 27, 2019 Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283

3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800

5130 Linton Blvd
Ste H1
Delray Beach, FL 33484
Phone (561) 498-8891

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1699205823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 GONDOLIER WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334623622",
            "telephone_number": "985-259-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 GONDOLIER WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334623622",
            "telephone_number": "985-259-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Linton Blvd Suite H1",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334845184",
            "country_code": "US",
            "telephone_number": "561-865-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 W Boynton Beach Blvd Suite 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334365184",
            "country_code": "US",
            "telephone_number": "561-742-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.