Tina Nicole Matthews

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2314 Issued in NC

Practice address

12019 Verhoeff Dr
Huntersville, NC 28078-9217

Phone

(704) 278-0934

NPI assigned

Dec 30, 2017

Last updated

Dec 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1871000794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18719 CANNON CROSSING WAY",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12019 VERHOEFF DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789217",
            "telephone_number": "704-278-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "TINA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "2314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Sara Mathai, DDS
• Lisa L Mather, LPN, IBCLC, RLC
• Abbigail Amanda Mattfeld
• Matthew Lineberger D.D.S. P.a. (Lineberger Orthodontics)
• Lindsey Michelle Matthews, DO
• Grace Matychak, RD
• Helen Marie Mavellia, NP
• Claudia Ivette Max, BCBA
• Zoe Sophia Mayberry, OTR
• Kristianna Katherine Mayo, NP

• Physical Therapy Assistant in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.