Matson Performance Group

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATSON PERFORMANCE GROUP

Practice address

1451 Conchester Hwy
Garnet Valley, PA 19061-2104

Phone

(610) 358-5500

Fax

(610) 358-5579

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian Matson, P.T.

Title

Owner

Phone

(610) 358-5500

Specialties & licenses 1

Addresses

Other names 1

• Mid-Atlantic Physical Therapy Doing business as

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1851589618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CONCHESTER HWY",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190612104",
            "telephone_number": "610-358-5500",
            "fax_number": "610-358-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 CONCHESTER HWY",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190612104",
            "telephone_number": "610-358-5500",
            "fax_number": "610-358-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATSON PERFORMANCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-358-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Atlantic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Lefebvre
• Lifeturn Network, LLC
• Rose M. Likeness, PSY.D.
• Gene P Maraldo, RPH
• Paris Trent Massey
• Kevin P McKelvey, CRNA
• Demetrios Menegos, D.O.
• Jhoel Mercado, PT
• Moby Ventures LLC
• Jennifer Moore

• Physical Therapy Clinic/Center in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.