Organization Active NPI

Mattia Physical Therapy and Rehabilitation, LLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1972889012
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006616 Issued in NY
Legal business name
MATTIA PHYSICAL THERAPY AND REHABILITATION, LLC
Practice address
2312 Avenue U
Ground Floor
Brooklyn, NY 11229-4917
Phone
(718) 615-1874
Fax
(718) 368-3982
NPI assigned
Nov 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Mattia, DPT
Title
Proprietor
Phone
(718) 615-1874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 006616 NY Primary

Addresses

Primary practice location

2312 Avenue U
Ground Floor
Brooklyn, NY 11229-4917

Mailing address

2312 Avenue U
Ground Floor
Brooklyn, NY 11229-4917
Phone (718) 615-1874

National Provider Directory

National Provider Directory

Locations

2312 Avenue U
Brooklyn, NY 11229
Phone (718) 615-1874

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1972889012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 AVENUE U",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294917",
            "telephone_number": "718-615-1874",
            "fax_number": "718-368-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 AVENUE U",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294917",
            "telephone_number": "718-615-1874",
            "fax_number": "718-368-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIA PHYSICAL THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "MATTIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "718-615-1874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.