Active NPI
Matthew Mattox, P.T.
- Physical Therapist
- Columbia, MS
National Provider Identifier
1730546292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2003
- Practice address
- 560 Highway 98 Byp
Columbia, MS 39429-3538 - Phone
- (601) 444-9200
- NPI assigned
- Jan 28, 2016
- 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 Therapist | 225100000X | PT2003 | MS | Primary |
Addresses
Primary practice location
560 Highway 98 Byp
Columbia, MS 39429-3538
Mailing address
239 Old Highway 24
Foxworth, MS 39483-4840
Phone (601) 441-9942
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2003 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1730546292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 OLD HIGHWAY 24",
"city": "FOXWORTH",
"state": "MS",
"postal_code": "394834840",
"telephone_number": "601-441-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 HIGHWAY 98 BYP",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394293538",
"telephone_number": "601-444-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTOX",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.