Mary Ann Mathew, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

R1183 Issued in MO

Practice address

740 S Washington St
Chillicothe, MO 64601-3042

Phone

(660) 646-0022

Fax

(660) 646-1553

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Brookfield Physical Therapy,Inc.

  • Physical Therapist
  • Brookfield, MO
  • NPI 1396843819
  NPD (past)
• Covenant Rehab Clinic, LLC

  • Physical Therapist
  • Chillicothe, MO
  • NPI 1942243209
  NPD (past)
• Malloy Holdings, LLC

  • Physical Therapy Clinic/Center
  • Brookfield, MO
  • NPI 1659783942
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1790727501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 FAIR ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011225",
            "telephone_number": "660-646-0022",
            "fax_number": "660-646-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013042",
            "telephone_number": "660-646-0022",
            "fax_number": "660-646-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R1183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7332708",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485768717",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34255016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00246846",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Marshall, FNP
• Tony Marvin, RPH
• Alayna Cassity Mason
• Denise Michelle Mason, LPC
• Shannon Mason, RN
• David A Mattingly, D.D.S.
• Emily A Mattingly, DDS
• McCoy Samples Mattingly Dental Clinic
• Rolfe C McCoy, DMD
• Barbara D McCullough, FNP-C

• All providers in Chillicothe, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.