Matthew Lee Stevens, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA4963 Issued in ME

Practice address

895 Portland Rd
Saco, ME 04072-9673

Phone

(207) 439-5105

NPI assigned

Feb 28, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1982106530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W POWNAL RD UNIT B",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PORTLAND RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729673",
            "telephone_number": "207-439-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA4963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Steege, BCBA
• Paula J Steele, LCSW
• Kathryn Anne Stefos, MD
• Barbara J Steva, O.T.
• Matthew D Stevens, DO
• Katharine H Stewart, LMSW-CC
• Susan S Stickney, LCSW
• Alyxandra G Stone, LCSW
• Elizabeth K Stoothoff, LCPC-C
• Sullivan Center, Inc

• Physical Therapy Assistant in Saco, ME
• Providers in Saco, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.