Cory T Matacio, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 32349 Issued in CA

Practice address

1103 Trancas Street
Napa Valley Physical Therapy Center
Napa, CA 94558

Phone

(707) 224-3131

Fax

(707) 224-2356

NPI assigned

Oct 11, 2006

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Napa Valley Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Napa, CA
  • NPI 1598869869

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902994254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FIREFLY LANE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-226-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 TRANCAS STREET",
            "address_2": "NAPA VALLEY PHYSICAL THERAPY CENTER",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-224-3131",
            "fax_number": "707-224-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATACIO",
        "first_name": "CORY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cooke DDS Ms Inc
• Timberlin Marzi
• Maris Maslow-Shields
• Daniel Masluk, M.D.
• Jeri S Masuda, RN
• Cristian G Mateescu, MD
• Sonushya Mathai, M.D.
• Peter M. Mathews, MD
• Carmen Matias Mendoza
• Rubicela Matias

• Physical Therapist in Napa, CA
• Providers in Napa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.