Active NPI
Kammye Mareen Matz, PT, CLT-LANA
- Physical Therapist
- Appleton, WI
National Provider Identifier
1851557185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6193-24
- Practice address
- 325 E Florida Ave
Appleton, WI 54911-1325 - Phone
- (920) 731-7310
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6193-24 | WI | Primary |
Addresses
Primary practice location
325 E Florida Ave
Appleton, WI 54911-1325
Mailing address
325 E Florida Ave
Appleton, WI 54911-1325
Phone (920) 731-7310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6193-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1851557185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E FLORIDA AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111325",
"telephone_number": "920-731-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E FLORIDA AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111325",
"telephone_number": "920-731-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATZ",
"first_name": "KAMMYE",
"middle_name": "MAREEN",
"credential": "PT, CLT-LANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "6193-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.