Mathias Mar Palmer, PTA
Individual provider Active NPI Physical Therapy Assistant · Hilltop, WV
NPI 1811879752 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1811879752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 002975 (WV)
- Practice address
- 152 Saddleshop Road
Hilltop, WV 25855 - Phone
- (340) 469-2966
- NPI assigned
- Jul 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002975 | WV | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 002975 | WV | Yes |
Addresses
Primary practice location
152 Saddleshop Road
Hilltop, WV 25855
Mailing address
152 Saddleshop Road
Hilltop, WV 25855-5549
Phone (304) 469-2966
Other providers in Hilltop, WV
- Samantha Kerwood
- Valerie Lynn McGraw
- Christina Lynn McGuire
- Joshua Paul Metz
- Matthew McKinley Paden
- Christa Park
- Saddle Shop Road Operations LLC
- Joshua Smith
- Denise Michelle Spaulding
- Phillip Stoots
All providers in Hilltop, WV · Physical Therapy Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.