Active NPIIndividual provider

Shelby Mata

Physical Therapist in Waterbury, Connecticut

NPI Number1114786100
Practice location
8 S Commons RD, Waterbury, CT 06704-1035
Fax
—
Last updated
March 14, 2024

Shelby Mata is a Physical Therapist based in Waterbury, CT. Shelby Mata practices in Waterbury, CT. The NPI Number for Shelby Mata is 1114786100 and holds a License No. 11-07243 (KS). The current practice location address for Shelby Mata is 8 S Commons RD, Waterbury, CT 06704-1035 and can be reached out via phone at 203-759-1229.

Provider Profile Details

NPI Number
1114786100
Provider Name
Shelby Mata
Provider Entity Type
Individual
Gender
Female
Address
8 S Commons RD, Waterbury, CT 06704-1035
Phone Number
203-759-1229
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2024
Last Update Date
March 14, 2024
Certification Date
March 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 S Commons RD
Waterbury, CT 06704-1035
Zip
06704-1035
Phone Number
203-759-1229
Waterbury, CT 06704Get directions →

Provider Business Mailing Address Details

Address
2938 S 9TH Pl
Kansas City, KS 66103-2542
City
Kansas City
State
KS
Zip
66103-2542
Phone Number
913-375-0053

License Information

License Number (1)
11-07243
License State (1)
KS
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
14351
License State (2)
CT
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shelby Mata?

The NPI number of Shelby Mata is 1114786100. It was assigned on March 13, 2024 and is currently active in the NPPES registry.

What is the specialty of Shelby Mata?

Shelby Mata is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in KS under license number 11-07243.

Where does Shelby Mata practice?

The practice location is 8 S Commons RD, Waterbury, CT 06704-1035. The office can be reached at 203-759-1229 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114786100 directly on the NPPES registry website.

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