Matthew Thomas Matisko, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37158 Issued in FL

Practice address

12705 Race Track Rd
Tampa, FL 33626-1314

Phone

(813) 343-3960

NPI assigned

Aug 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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 and National Provider Directory roles.

• Westchase Physical Therapy and Medical Supply LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1114083946
  Medicare reassignment NPD
• Westchase Physical Therapy and Medical Supply LLC

  • Physical Therapist
  • Palm Harbor, FL
  • NPI 1275392623
  NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1841964665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261314",
            "telephone_number": "724-994-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261314",
            "telephone_number": "813-343-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATISKO",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHYSICAL THERAPY",
            "identifier": "PT37158",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.gainesvillephysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4113 NW 6th St Ste C",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326090731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Felix Antonio Matias, M.S., CCC-SLP
• Brian Matier, M.D.
• David Matilla Oro, PTA
• Eduardo J Matilla
• Jennifer Matilla
• Garett R Matley
• Matmed LLC
• Ayled Matos Diaz
• Daylan Matos Perez
• Lisset Matos Ramirez

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.