MR. MATTHEW SCOTT MAZARA (NPI# 1053787689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053787689 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW SCOTT MAZARA |
| Credential | PTA |
| Practice Address |
10470 Diberville Blvd Diberville MS 39540-2419 |
| Practice Telephone | 2282808120 |
| Practice Fax Number | 2282808121 |
| Mailing Telephone | 2282808120 |
| Mailing Fax Number | 2282808121 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5837 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10470 DIBERVILLE BLVD |
| City | DIBERVILLE |
| State | MS |
| Zip Code | 39540-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194102434 | Dynamic Rehabilitation Services LLC | Physical Therapist | 10470 Diberville Blvd, Ste H, Diberville, MS 39540-2419 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
| 1750438255 | Andrea L Davis | Dentist | 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 | 2007-01-05 |
| 1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
| 1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
| 1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
| 1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
| 1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
| 1982618369 | Becky F Hollibaugh | Family Medicine | 3920 Promenade Pkwy, Biloxi, MS 39540 | 2006-07-28 |
| Find all providers in zip 39540 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811550916 | Melody Michelle Rogers | Physical Therapy Assistant | 4016 Cassimer Ave, Diberville, MS 39540-2309 | 2019-04-15 |
| 1972043933 | Tiffany Ann Seal | Physical Therapy Assistant | 10470 Diberville Blvd Ste H, Diberville, MS 39540-2419 | 2017-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844838 | Antonio Hughes I | Physical Therapy Assistant | 1776 Cresent Ln, Southaven, MS 38671-7340 | 2020-05-29 |
| 1952922130 | Sagar Surendra Desai | Physical Therapy Assistant | 17045 E Main St, Louisville, MS 39339-2754 | 2020-04-29 |
| 1013547223 | Alma Wollfarth | Physical Therapy Assistant | 203 W Jefferson St, Kosciusko, MS 39090-3620 | 2020-01-16 |
| 1093355752 | Antonio Mccall | Physical Therapy Assistant | 2575 Russum Dr, Southaven, MS 38672-6564 | 2020-01-10 |
| 1467091470 | Amberly Brown | Physical Therapy Assistant | 109 S Davis Ave Ste 4, Cleveland, MS 38732-3447 | 2019-12-23 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1174082440 | Chelsea Mcelroy Huggins | Physical Therapy Assistant | 627 Middleton Rd # 600, Winona, MS 38967-2021 | 2019-03-17 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1376014597 | Kevin Brent Tull | Physical Therapy Assistant | 19525 Old Highway 25 N, Fulton, MS 38843-7286 | 2018-12-16 |
| 1699256917 | William Paul Gusmus II | Physical Therapy Assistant | 109 Eureka St Ste A, Batesville, MS 38606-2534 | 2018-08-24 |
| Find all providers with the same taxonomy | ||||
| City | DIBERVILLE |
| Zip Code | 39540 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.