| Matthew Shultz, DPT | |
|
1 Linnie Ct, Edgewood, NM 87015-9125 | |
| (717) 615-6861 | |
| Not Available |
| Full Name | Matthew Shultz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1 Linnie Ct, Edgewood, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730995010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2024-0334 (New Mexico) | Primary |
| Provider Name | Active Solutions Therapy Serv Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720075880 PECOS PAC ID: 9638132830 Enrollment ID: O20041109000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Shultz, DPT 1 Linnie Ct, Edgewood, NM 87015-9125 Ph: (717) 615-6861 | Matthew Shultz, DPT 1 Linnie Ct, Edgewood, NM 87015-9125 Ph: (717) 615-6861 |
Dr. Gavin Lynch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1851 Old Us 66 Ste B, Edgewood, NM 87015 Phone: 505-281-8463 | |
Mrs. Paula A Jones-irvin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 George Ct, Suite A, Edgewood, NM 87015 Phone: 505-281-8463 Fax: 505-281-8469 | |
Mary Ann B Romero, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Linnie Ct Ste Apt, Edgewood, NM 87015 Phone: 505-286-7838 Fax: 505-286-8025 | |
Amber Vialpando, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Linnie Ct, Edgewood, NM 87015 Phone: 505-286-7838 | |
Melissa Rochelle Wheeler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Linnie Ct, Edgewood, NM 87015 Phone: 505-286-7838 Fax: 505-286-8025 | |
Michelle Josephine Parra, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Linnie Ct, Edgewood, NM 87015 Phone: 505-286-7838 | |
Mrs. Rona H Vanwilligen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1851 Highway 333, 2-b, Edgewood, NM 87015 Phone: 505-281-8463 Fax: 505-281-8469 |