Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW PROFETA, PT
ActiveMATTHEW PROFETA, PT is a Physical Therapy Assistant healthcare provider located in KENMORE, New York. NPI 1720476245 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KENMORE, NY
Registration Details
- NPI Number
- 1720476245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2015 (11.627619275268 yrs)
- Last Updated
- Apr 14, 2021
- Licenses
-
1253180 (TX)25221 (MD)2305209005 (VA)033901 (NY)
Practice Information
- Address
-
2760 DELAWARE AVEKENMORE, NY, 142172702Browse NY providers · Browse ZIP 14217
- Phone
- 7164232262
- Fax
- 7164232263
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in KENMORE, NY
| Name | Credential | NPI |
|---|---|---|
| TINA MARIE DEGEORGE | MSPT | 1144282385 |
| DOROTHY E FOIGELMAN HOLLAND | PT DPT | 1538239207 |
| SYLBIE HODAS-GATES | DPT | 1699845362 |
| JULIE N STYN | PT | 1841360559 |
| SUSAN L BAINBRIDGE | PT | 1053481796 |
| DAVID J LACHOWSKI | PT | 1174693840 |
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.