| Mrs Kristina Diane Matthews, MPT | |
|
74 Journey Way, Valparaiso, IN 46383-0078 | |
| (219) 255-4378 | |
| Not Available |
| Full Name | Mrs Kristina Diane Matthews |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 74 Journey Way, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083697346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | 004686 (Kentucky) | Secondary |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristina Diane Matthews, MPT 5214 S East St, Building D Suite 1, Indianapolis, IN 46227-1917 Ph: (800) 486-4449 | Mrs Kristina Diane Matthews, MPT 74 Journey Way, Valparaiso, IN 46383-0078 Ph: (219) 255-4378 |
Mr. Jonathan Verano Pilario, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1811 Crimson Dr, Valparaiso, IN 46383 Phone: 847-414-7460 | |
Kristin Larsen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2904 Calumet Ave, Valparaiso, IN 46383 Phone: 219-462-1020 Fax: 219-462-1043 | |
Philip Webster, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 Silhavy Rd Ste 121, Valparaiso, IN 46383 Phone: 219-462-0576 Fax: 219-462-0216 | |
Michael A. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 Silhavy Rd, Suite 121, Valparaiso, IN 46383 Phone: 219-462-0576 Fax: 219-462-0216 | |
Kimberlyn Renea Thomas, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1501 Eisenhower Ave Apt 104, Valparaiso, IN 46383 Phone: 574-806-4038 | |
Franklin Kilian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 |