Jeffy Mary Mathew

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214078 Issued in VA

Practice address

4700 King St
Alexandria, VA 22302-4420

Phone

(571) 665-6560

Fax

(571) 665-6561

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jmathew765279@soc.inova.org

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1760049480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024420",
            "telephone_number": "571-665-6560",
            "fax_number": "571-665-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024420",
            "telephone_number": "571-665-6560",
            "fax_number": "571-665-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12158 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchellville",
            "state": "MD",
            "postal_code": "207211932",
            "country_code": "US",
            "telephone_number": "301-430-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JEFFY",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmathew765279@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4700 King St",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223024420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renat Matalon, BCBA, LBA
• Somayah Mateen
• Louis Philippe Mateus, PSY.D.
• Liana E Matevosian, NP
• Geetha Rebecca Mathew, MD
• Aimee Mathews-Kurfis
• Lauren Kathryn Mathieu
• Michelle Mathis
• Jason Mathison, PSY.D, NCSP, ABSNP
• Esther Matias, MD

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.