JON R MATHIS
NPI 1063970291
Specialist/Technologist - Athletic Trainer in Prospect Park, PA
About Jon R Mathis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JON R MATHIS (NPI 1063970291) is an individual athletic trainer provider in Prospect Park, Pennsylvania and active in the NPI registry since March 2019. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jon R Mathis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jon Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Garnet Valley, PA 19060
- Reassigned Medicare billing, Pennsylvania enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jon Mathis's NPI number?
The NPI number for Jon Mathis is 1063970291. It was assigned to this individual provider in the NPPES registry on March 6, 2019.
Where is Jon Mathis located?
Jon Mathis practices at 661 13th Ave, Prospect Park, PA 19076. The listed phone number is (610) 657-2294.
What is Jon Mathis's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.
Is Jon Mathis enrolled in Medicare?
Yes. Jon Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jon Mathis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jon Mathis reassigns Medicare benefits to Precision Performance Physical Therapy (Garnet Valley, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jon Mathis was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jon R Mathis · NPI 1063970291
Athletic Trainer provider in Prospect Park, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 6, 2019.
## Identity
- **NPI:** 1063970291 (Entity type: Individual)
- **Enumerated:** March 6, 2019
- **Primary specialty:** Specialist/Technologist - Athletic Trainer · taxonomy 2255A2300X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 661 13TH AVE, Prospect Park, PA 19076-1202
- **Phone:** (610) 657-2294
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Precision Performance Physical Therapy (NPI 1346886736, Garnet Valley, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 6, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1063970291) · Data from the CMS NPPES public registry.