Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE ANTHONY MATA, PT, DPT
ActiveDR. SHANE ANTHONY MATA, PT, DPT is a Physical Therapy Assistant healthcare provider located in LIVINGSTON, New Jersey. NPI 1134636202 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LIVINGSTON, NJ
Registration Details
- NPI Number
- 1134636202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2018 (8.5749551309955 yrs)
- Last Updated
- Mar 21, 2018
- License
-
40QA01754500 (NJ)
Practice Information
- Address
-
600 S LIVINGSTON AVELIVINGSTON, NJ, 070395419Browse NJ providers · Browse ZIP 07039
- Phone
- 9739920733
- Fax
- 9739920734
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LIVINGSTON, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTIE TOLERICO | PT | 1154377067 |
| YELENA SHAPIRO | PT | 1174579916 |
| GINA CICARELLI | PT | 1073560975 |
| RENEE URBAN | PT | 1336188010 |
| SUSAN HERRMANN | PT | 1699714378 |
| MRS. SONALI LALWANI | PT, DPT | 1043249048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.