Larry Wayne Mattocks in Hermitage - Physical Therapist
Larry Wayne Mattocks - NPI 1588644546
Larry Wayne Mattocks is a Physical Therapist in Hermitage, Pennsylvania. Larry Wayne Mattocks practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Larry Wayne Mattocks is 1588644546. The last update date is 2008-05-19.
Larry Wayne Mattocks's current location address is 1599 N Hermitage Rd, Hermitage, Pennsylvania. You can contact this provider via phone number 7249627920 and fax number 7249626029. The mailing address for Larry Wayne Mattocks is 1599 N Hermitage Rd, Hermitage, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Wayne Mattocks |
|---|---|
| Address | 1599 N Hermitage Rd, Hermitage, Pennsylvania |
| Phone Number | 7249627920 |
| Fax Number | 7249626029 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1588644546 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2008-05-19 |
Provider Mailing Address Detail
| Address | 1599 N Hermitage Rd |
|---|---|
| City | Hermitage |
| State | Pennsylvania (PA) |
| Post Code | 161483180 |
| Phone Number | 7249627920 |
| Fax Number | 7249626029 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT007303L |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1016368810002 | PA | -- | |
| 104392 | PA | UPMC | |
| 220033 | PA | HEALTH AMERICA/HEALTH ASSURANC | |
| 5160144 | PA | AETNA | |
| 548783 | PA | HIGHMARK GROUP | |
| 724159 | PA | HEALTH AMERICA/HEALTH ASSURANC | |
| 25221 | PA | MEDICARE GROUP | |
| 1983093 | PA | HIGHMARK GROUP | |
| 118111 | PA | MEDICARE GROUP | |
| 417718 | PA | HIGHMARK |
Post Comment/ Review Below
What is the Larry Wayne Mattocks's 1588644546?
The Larry Wayne Mattocks's NPI (National Provider Identifier) Number is 1588644546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry Wayne Mattocks?
The Larry Wayne Mattocks is situated at 1599 N Hermitage Rd, in the city of Hermitage, state of PA, with the zip code 161483180.
What is Larry Wayne Mattocks's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry Wayne Mattocks is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588644546 to Larry Wayne Mattocks?
The Larry Wayne Mattocks received its 1588644546 assignment from the Centers for Medicare & Medicaid Services on 2006-01-18.
When was the information pertaining to Larry Wayne Mattocks most recently updated or revised?
The details related to Larry Wayne Mattocks, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-19.