MS. JOAN IRENE MATTERSON (NPI# 1972773513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972773513 |
| Entity Type | Individual |
| Full Name | MS. JOAN IRENE MATTERSON |
| Credential | P.T. |
| Practice Address |
212 Hazel Ridge Dr Wilmington DE 19810-1311 |
| Mailing Address |
212 Hazel Ridge Dr Birchknoll Wilmington DE 19810-1311 |
| Practice Telephone | 3024753379 |
| Mailing Telephone | 3024753379 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
J1-0000596 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
PT002878-L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
J1-0000596 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT002878-L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251H1300X |
Physical Therapist Specialization: Human Factors |
DAPT000300 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
212 HAZEL RIDGE DR |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19810-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916710 | Sk Chiropractic | Chiropractor | 3411 Silverside Road., Weldin Building. Suite 106, Wilmington, DE 19810 | 2019-01-18 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1073866265 | Julie Ann Donahue | Counselor | 7 Pinecrest Dr, Wilmington, DE 19810 | 2012-10-25 |
| 1245588227 | Megan Mckinney Watts | Physical Therapist | 6411 Silverside Road, Springer Building, Suite 105, Wilmington, DE 19810 | 2012-08-22 |
| 1316236094 | Anthony J Franzosa IIi | Pharmacist | 1718 Marsh Rd, Wilmington, DE 19810 | 2011-04-01 |
| 1831347202 | Felix John Boffa | Anesthesiology | 2413 Oakmere Rd, Wilmington, DE 19810 | 2008-08-28 |
| 1881818227 | Kuhwald Contact Lens Co Inc | Durable Medical Equipment & Medical Supplies | 2006 Foulk Road, Suite A, Wilmington, DE 19810 | 2007-04-13 |
| 1528187747 | Vincent Emanuel Paolicelli Jr. | Chiropractor | Hanby Building Ste 102 3411 Silverside Rd, Wilmington, DE 19810 | 2007-03-28 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| 1407998040 | Constantine Azarcon | Psychiatry & Neurology | 3411 Silverside Road, Rodney Building Suite 107, Wilmington, DE 19810 | 2007-02-12 |
| Find all providers in zip 19810 | ||||
| Taxonomy Code | 2251E1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Electrophysiology, Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003941592 | Lisa Hope Goodfriend | Physical Therapist | 7th and Clayton Streets, St. Frances Wound Care Center, Suite 601 Msb, Wilmington, DE 19805 | 2007-02-23 |
| City | WILMINGTON |
| Zip Code | 19810 |
Please comment or provide details below to improve the information on MS. JOAN IRENE MATTERSON.
| 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.