Active NPIIndividual provider

Michele L Mattioli, PTA

Physical Therapy Assistant in Ocean, New Jersey

NPI Number1558875906
Practice location
1200 Eagle Ave, Ocean, NJ 07712-7631
Fax
732-660-6222
Last updated
November 21, 2017

Michele Lee Mattioli is a Physical Therapy Assistant based in Ocean, NJ. Michele Lee Mattioli practices in Ocean, NJ and has the professional credentials of PTA. The NPI Number for Michele Lee Mattioli is 1558875906 and holds a License No. 40QB00344100 (NJ). The current practice location address for Michele Lee Mattioli is 1200 Eagle Ave, Ocean, NJ 07712-7631 and can be reached out via phone at 732-216-7602 and via fax at 732-660-6222.

Provider Profile Details

NPI Number
1558875906
Provider Name
Michele Lee Mattioli
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
1200 Eagle Ave, Ocean, NJ 07712-7631
Phone Number
732-216-7602
Fax Number
732-660-6222
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2017
Last Update Date
November 21, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Eagle Ave
Ocean, NJ 07712-7631
City
Ocean
Zip
07712-7631
Phone Number
732-216-7602
Fax Number
732-660-6222
Ocean, NJ 07712Get directions →

Provider Business Mailing Address Details

Address
1200 Eagle Ave
Ocean, NJ 07712-7631
City
Ocean
State
NJ
Zip
07712-7631
Phone Number
732-216-7602
Fax Number
732-660-6222

License Information

License Number
40QB00344100
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Michele L Mattioli, PTA?

The NPI number of Michele L Mattioli, PTA is 1558875906. It was assigned on November 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Michele L Mattioli, PTA?

Michele L Mattioli, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00344100.

Where does Michele L Mattioli, PTA practice?

The practice location is 1200 Eagle Ave, Ocean, NJ 07712-7631. The office can be reached at 732-216-7602 (phone) or 732-660-6222 (fax).

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 1558875906 directly on the NPPES registry website.

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