Active NPI
Michelle Renee Mattei, MS PT
- Physical Therapist
- North Conway, NH
National Provider Identifier
1952962979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2937
- Practice address
- 3073 White Mountain Hwy
North Conway, NH 03860-7101 - Phone
- (603) 356-5461
- Fax
- (603) 354-3541
- NPI assigned
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2937 | NH | Primary |
Addresses
Primary practice location
3073 White Mountain Hwy
North Conway, NH 03860-7101
Mailing address
PO Box 716
Center Conway, NH 03813-0716
Phone (603) 662-9967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2937 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1952962979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 716",
"city": "CENTER CONWAY",
"state": "NH",
"postal_code": "038130716",
"telephone_number": "603-662-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038607101",
"telephone_number": "603-356-5461",
"fax_number": "603-354-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTEI",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Conway, NH
- Mainehealth New Hampshire Ambulatory Care
- Mainehealth New Hampshire Ambulatory Care
- Kelley Marcello, M.ED., LCMHC
- William J Martin, MD
- Christopher A. Marvelli, MD
- Patricia Joan Mattox-Larson, M.S. CCC-SP
- Abigail Blake Maynard, FNP
- Kathleen Blake Maynard, NP
- Clara Elizabeth McComb, DO
- Kathryn Elizabeth McDonald, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.