| Jacob Matthew Mattia, DPT | |
|
395 N Groesbeck Hwy Ste L, Mount Clemens, MI 48043-1561 | |
| (586) 630-0474 | |
| (586) 630-0476 |
| Full Name | Jacob Matthew Mattia |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 395 N Groesbeck Hwy Ste L, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447999529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501302104 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Health Alliance Llc | 2860776648 | 3 |
| Provider Name | Advanced Health Alliance Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1467904615 PECOS PAC ID: 2860776648 Enrollment ID: O20170222000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Matthew Mattia, DPT 54313 Scarboro Way, Shelby Township, MI 48316-1287 Ph: (248) 321-7249 | Jacob Matthew Mattia, DPT 395 N Groesbeck Hwy Ste L, Mount Clemens, MI 48043-1561 Ph: (586) 630-0474 |
Surekha Samel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Michelle Lewinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Shabbir Hussain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St Ste 1, Mount Clemens, MI 48043 Phone: 586-477-1402 | |
Elizabath Shabu, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 243 Cass Ave Ste A, Mount Clemens, MI 48043 Phone: 586-783-7590 | |
Gary Lutes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Mr. Jose Luis C. Escudero, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-2044 | |
Heather Piper, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 |