Alyssa E Mattson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002701 Issued in GA

Practice address

631 Campbell Hill St NW
Suite 200
Marietta, GA 30060-1301

Phone

(770) 424-6787

NPI assigned

May 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marietta Podiatry Group

  • Podiatric Clinic/Center
  • Marietta, GA
  • NPI 1487638318
  Medicare reassignment NPD
• Cobb Foot & Leg Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Marietta, GA
  • NPI 1336123264
  NPD
• Marietta Podiatry Group

  • Durable Medical Equipment & Medical Supplies
  • Marietta, GA
  • NPI 1306960836
  NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790731982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 GRANTHAM WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645504",
            "telephone_number": "770-795-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CAMPBELL HILL ST NW",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601301",
            "telephone_number": "770-424-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "ALYSSA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjhari Matthews, NP
• Cynthia Jeannette Matthews
• David A. Matthews, M.D.
• Kayla Matthews
• Jamaica Bionka Mattox
• Paul A Mattson Jr., P.T.
• Carolyn Ann Mauro, CAA
• Anees Mawani, PA-C
• Melissa Mawdsley Chisholm, DC
• Maxcen Housing Society Inc. Georgia Branch

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.