Mattera Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATTERA PHYSICAL THERAPY LLC

Doing business as

Mattera Physical Therapy

Practice address

2 Cedar St
Woburn, MA 01801-7248

Phone

(781) 521-3336

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jenna Antonette Mattera, DPTNPI 1275040586

Title

Owner/Physical Therapist

Phone

(781) 521-3336

Specialties & licenses 1

Addresses

Other names 1

• Mattera Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Antonette Mattera, DPT

  • Physical Therapist
  • Woburn, MA
  • NPI 1275040586
  NPD Authorized official

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1720759947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HIGH ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021512318",
            "telephone_number": "781-521-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CEDAR ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017248",
            "telephone_number": "781-521-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTERA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MATTERA",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "ANTONETTE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "781-521-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattera Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mattera Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Massachusetts Ear Nose and Throat Associates 3 LLC
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• Massachusetts Medical & Physical Therapy Associates Inc. (Fitzgerald Physical Therapy Associates, Inc.)
• Ashley Mastaj, DPT
• Jenna Antonette Mattera, DPT
• Mollie A Maturah
• Gail Allex Maurer, MSW, LICSW
• Christopher M Mauro, LICSW
• Jessie Mayes, MSW LICSW

• Physical Therapy Clinic/Center in Woburn, MA
• Providers in Woburn, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.