Heidi Mattessich, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT29735 Issued in FL

Practice address

3802 Murrell Rd
Rockledge, FL 32955-4741

Phone

(321) 877-2090

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

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

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.

• Functionally Fit Chiropractic, Inc.

  • Chiropractor
  • Rockledge, FL
  • NPI 1679391635
  NPD
• Functionally Fit Fitness Center, Inc

  • Physical Medicine & Rehabilitation Physician
  • Rockledge, FL
  • NPI 1740796895

  Physical Medicine & Rehabilitation

  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1871232736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 STROM PARK DR",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MURRELL RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554741",
            "telephone_number": "321-877-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESSICH",
        "first_name": "HEIDI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT29735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Mason, APRN
• Tracy Lee Massey, OTR
• Stephan A Massiah, BA, RBT
• Sajida Mathew, MD
• Nyianni Mathis, RBT
• April Matthews
• Courtney June Mauro, OTR/L
• Alan Michael May II
• Debra Maymon
• Lisa Kathleen McAteer

• Physical Medicine & Rehabilitation Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.