Ann Virginia Mattice

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

041.0112038 Issued in VT

Practice address

325 North St
Bennington, VT 05201-1937

Phone

(802) 447-6548

NPI assigned

Nov 4, 2015

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

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453593600000",
    "number": "1891168407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CROOKED PATH",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052504470",
            "telephone_number": "802-375-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NORTH ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011937",
            "telephone_number": "802-447-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTICE",
        "first_name": "ANN",
        "middle_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2016-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VT",
            "license": "041.0112038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence John Mango Sr., R.PH.
• Marisa Friscia MD (Internal and Wellness, Inc)
• Victor Martini, LICSW
• Martins Foods of South Burlington LLC (Hannaford Supermarket & Pharmacy)
• Mary Jean Sadlak PHD PC
• Alesha Maury, N.D.
• Barry S Mayer, MD
• Heather Mayhew
• Mary Pat Mazzola, PSYCHOLOGIST-MA
• Maureen Matthews McClintock, MSW

• Physical Therapy Assistant in Bennington, VT
• Providers in Bennington, VT by specialty
• Physical Therapy Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; 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.