Jacob Matthew Mattia, DPT | |
395 N Groesbeck Hwy Ste L, Mount Clemens, MI 48043-1561 | |
(586) 630-0474 | |
(586) 630-0476 |
Full Name | Jacob Matthew Mattia |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 395 N Groesbeck Hwy Ste L, Mount Clemens, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447999529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302104 (Michigan) | Primary |
Provider Name | Advanced Health Alliance Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467904615 PECOS PAC ID: 2860776648 Enrollment ID: O20170222000989 |
Mailing Address | Practice Location Address |
---|---|
Jacob Matthew Mattia, DPT 54313 Scarboro Way, Shelby Township, MI 48316-1287 Ph: (248) 321-7249 | Jacob Matthew Mattia, DPT 395 N Groesbeck Hwy Ste L, Mount Clemens, MI 48043-1561 Ph: (586) 630-0474 |
Surekha Samel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Michelle Lewinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Shabbir Hussain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St Ste 1, Mount Clemens, MI 48043 Phone: 586-477-1402 | |
Gary Lutes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Mr. Jose Luis C. Escudero, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-2044 | |
Heather Piper, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 |