Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW DETORE, MPT
Active Sole ProprietorMATTHEW DETORE, MPT is a Physical Therapy Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1538498217 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1538498217
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2009 (16.493777204421 yrs)
- Last Updated
- Jan 9, 2017
- License
-
PT022243 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6595 ROOSEVELT BLVDBPHILADELPHIA, PA, 191492918Browse PA providers · Browse ZIP 19149
- Phone
- 2157432332
- Fax
- 2157432330
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| BEVERLY R. SAMSON | PT | 1972501336 |
| STEPHANIE SELLECCHIA | DPT | 1760480933 |
| MR. JOSEPH T. RUHL JR. | PT, ATC | 1639177744 |
| DR. SARAH BROOK WENGER | PT, DPT, OCS | 1417956137 |
| MRS. DEBORAH MARIE LYNCH-JOHNSON | PT, CERT MDT | 1962401521 |
| KIMBERLY WALLACE | PT | 1114926698 |
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.