Mary Therese Mattina is a Orthopedic Physical Therapist practicing in Washington Township, Michigan. The National Provider Identifier (NPI) is #1366918286, which was assigned on October 18, 2018, and the registration record was last updated on February 15, 2022. The practitioner's main practice location is at 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035; the contact telephone number is 5863362480, and the fax number is 5863362481. The primary taxonomy of Mary Therese Mattina is Orthopedic Physical Therapist (2251X0800X), with specialization in Orthopedic. Mary Therese Mattina is licensed to practice in the state of Michigan (#5501004313).
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
| NPI | 1366918286 |
| Entity Type | Individual |
| Provider Name | MRS. MARY THERESE MATTINA |
| Gender | Female |
| Practice Address |
12150 30 Mile Rd Ste 102 Washington Township MI 48095-2035 |
| Practice Telephone | 5863362480 |
| Practice Fax Number | 5863362481 |
| Mailing Address |
12150 30 Mile Rd Ste 102 Washington Township MI 48095-2035 |
| Mailing Telephone | 5863362480 |
| Mailing Fax Number | 5863362481 |
| Certification Date | 2022-02-15 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-02-15 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist | Orthopedic | 5501004313 | MI |
| Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. |
| Notes: Source: American Physical Therapy Association [1/1/2020: definition added] Additional resources: http://www.abpts.org/uploadedFiles/ABPTSorg/Specialist_Certification/DSP/DSP-Orthopaedics.pdf |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Heal Physical Therapy LLC | 1 Langdon Ln, Morristown, NJ 07960-6185 | Orthopedic Physical Therapist | 2024-03-27 |
| Brianna Hill | 1200 Driving Park Ave, Newark, NY 14513-1090 | Orthopedic Physical Therapist | 2024-03-18 |
| Nicole Elms | 1951 W Camelback Rd Ste 101, Phoenix, AZ 85015-3483 | Orthopedic Physical Therapist | 2024-03-22 |
| Sarah Miller | 2716 Forum Blvd Ste 3, Columbia, MO 65203-5450 | Orthopedic Physical Therapist | 2024-04-04 |
| Emilio Cassaretto | 10300 Heritage St Ste 160, San Antonio, TX 78216-3924 | Orthopedic Physical Therapist | 2024-04-01 |
| Jena Van Loo · Jena Nerlich | 1500 San Pablo St Ste 2200, Los Angeles, CA 90033-5313 | Orthopedic Physical Therapist | 2024-03-25 |
| Fatma Nurseda Erdem | 300a University Blvd, Round Rock, TX 78665-1032 | Orthopedic Physical Therapist | 2024-03-19 |
| Jeffery Richard Houck | 414 N Meridian St, Newberg, OR 97132-2697 | Orthopedic Physical Therapist | 2024-04-03 |
| Belle Lau | 1045 N Tustin St, Orange, CA 92867-5904 | Orthopedic Physical Therapist | 2024-03-26 |
| Reactive Physical Therapy and Wellness | 446 E Mitchell St Ste 3, Petoskey, MI 49770-4604 | Orthopedic Physical Therapist | 2024-03-21 |
| Find all providers with the same taxonomy | |||
| Street Address |
12150 30 MILE RD STE 102 |
| City | WASHINGTON TOWNSHIP |
| State | MI |
| Zip Code | 48095-2035 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Clara Hughes | 12150 30 Mile Rd Ste 102, Washington Twp, MI 48095-2035 | Physical Therapy Assistant | 2022-02-07 |
| Cory Randall Arnold | 12150 30 Mile Rd Ste 102, Washington, MI 48095-2035 | Physical Therapist | 2014-06-12 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Donna Lynn Ralston | 12150 30 Mile Rd, Washington Twp, MI 48095-2035 | Physical Rehabilitation Occupational Therapist | 2021-04-29 |
| Tabitha Dobrei Luca | 12150 30 Mile Rd, Washington Twp, MI 48095-2035 | Family Nurse Practitioner | 2020-02-17 |
| Kenneth A Scott | 12150 30 Mile Rd, Ste 105, Washington, MI 48095-2035 | Orthopaedic Surgery Physician | 2006-02-10 |
| Sharon E Long | 12150 30 Mile Rd, Washington, MI 48095-2035 | Nurse Practitioner | 2006-01-06 |
| Emily Catherine Fitzgerald | 12150 30 Mile Rd Ste 101, Washington, MI 48095-2035 | Physician Assistant | 2018-05-30 |
| Orchardview Physicians · Village Health Urgent & Family Care | 12150 30 Mile Rd, Suite 101, Washington Township, MI 48095-2035 | Urgent Care Clinic/Center | 2008-07-23 |
| Marcie Gore · Marcie Crandall | 12150 30 Mile Rd, Washington, MI 48095-2035 | Physician Assistant | 2013-06-13 |
| Nicole Ellen Dolan | 12150 30 Mile Rd, Ste 201, Washington Township, MI 48095-2035 | Obstetrics & Gynecology Physician | 2007-04-12 |
| Janis Elizabeth Romanik | 12150 30 Mile Rd, Suite 201, Washington Twp, MI 48095-2035 | Family Medicine Physician | 2007-04-17 |
| Amanda Tarlton | 12150 30 Mile Rd, Washington Twp, MI 48095-2035 | Occupational Therapist | 2018-05-29 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Michigan Orthopedic & Spinal Surgery PLLC | 12150 30 Mile Rd, Suite 105, Washington Twp, MI 48095 | Orthopaedic Surgery Physician | 2008-04-11 |
| Purdy Chiropractic North PLLC | 64401 Van Dyke Road, Washington, MI 48095 | Chiropractor | 2021-11-05 |
| Jacob Paul Witer | 65893 Van Dyke Rd, Washington Twp, MI 48095 | Dentist | 2010-06-17 |
| Shree Ohm Inc · Romeo Plank Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | Pharmacy | 2017-05-28 |
| Orchardview Physicians, PLLC | 12250 Thirty Mile Rd, Washington Township, MI 48095 | Occupational Medicine Physician | 2006-10-17 |
| Michael Lucien Lefebvre | 64580 Van Dyke, Suite B, Washington, MI 48095 | Dentist | 2006-06-15 |
| Kayla Bidus | 3601 31 Mile Rd, Washington, MI 48095-1014 | Athletic Trainer | 2016-11-07 |
| Keli Elizabeth Gogo | 8136 Orchardview Dr, Washington, MI 48095-1344 | Physical Therapy Assistant | 2013-04-16 |
| Kulpa & Kulpa Dds | 64845 Vandyke, Washington, MI 48095 | Dentist | 2006-01-18 |
| Romeo Urgent Care, PC | 67150 Vandyke Rd, Washington, MI 48095 | Internal Medicine Physician | 2006-11-15 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mary Therese Fornetti · Mary Therese Gloss | 325 E H St, Iron Mountain, MI 49801-4760 | Physician Assistant | 2011-12-03 |
| Mary Therese Klinker · Mary Therese Miller | 811 2nd St Se, Suite A, Little Falls, MN 56345-3559 | Family Medicine Physician | 2006-07-12 |
| Mary Therese Leveille · Mary Therese Ryan | 1100 Orchard St, Seymour, WI 54165 | Registered Nurse | 2006-07-26 |
| Mary Therese Duggan-Gilbert | 75 Francis St, Boston, MA 02115-6110 | Adult Health Nurse Practitioner | 2009-11-11 |
| Mary Therese Mankey · Mary Theresa Kuruda | 3337 Britton Rd, Perry, MI 48872-9706 | Physician Assistant | 2006-07-14 |
| Maria Therese Wenszell · Mary Therese Ledesma | N27w22161 Timberwood Ln, Waukesha, WI 53186-1006 | Home Health Registered Nurse | 2010-11-11 |
| Mary Therese Bohon · Mary Therese Johnston | 9 Olive St, Saco, ME 04072-1633 | Clinical Social Worker | 2006-06-20 |
| Mary Kathleen Therese Dorosh · Mary Kathleen Therese Koschnitzki | 6710 N Country Homes Blvd, Spokane, WA 99208-4337 | Physical Therapist | 2023-04-24 |
| Mary Therese Conway · Mary Mcdermott | 400 Tradecenter Ofc 5864, Woburn, MA 01801-7452 | Physical Therapist | 2024-03-22 |
| Mary Therese Gyi | 5122 Meadow Creek Ter, Ellicott City, MD 21043-7913 | Pharmacist | 2008-01-30 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |