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ELLIOT RICHARD MATTINGLY PT, DPT
NPI 1154695864
Physical Therapist - Orthopedic in Bardstown, KY

Active since February 27, 2012Accepts Medicare Assignment
875 PENNSYLVANIA AVE, BARDSTOWN, KY 40004(502) 349-6961 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elliot Richard Mattingly Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIOT RICHARD MATTINGLY PT, DPT (NPI 1154695864) is an individual orthopedic provider in Bardstown, Kentucky, licensed in Kentucky (005992) and active in the NPI registry since February 2012. He is a graduate of Other (2011).

NPPES Registry Identity

NPI1154695864
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameELLIOT RICHARD MATTINGLYCredential: PT, DPT
Location Address875 PENNSYLVANIA AVEBardstown, KY 40004-2529
Mailing Address439 Bloomfield RdBardstown, KY 40004-2010 · (502) 460-0125
Phone(502) 349-6961
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 27, 2012
✔ NPI 1154695864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in KY · 005992
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
875 PENNSYLVANIA AVE, Bardstown, KY 40004
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elliot Richard Mattingly Pt, Dpt 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.

PECOS PAC ID749439974
PECOS Enrollment IDI20121004000049

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
35 services13 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
26 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES FERRARA OTR
Occupational Therapist
875 PENNSYLVANIA AVE
BARDSTOWN, KY 40004
Nelson County (502) 349-6961
KALEN M. MORGAN OT
Occupational Therapist
875 PENNSYLVANIA AVE, SUITE A
BARDSTOWN, KY 40004
Nelson County (502) 349-6961
KENTUCKY ORTHOPEDIC REHABILITATION LLC
Durable Medical Equipment & Medical Supplies
875 PENNSYLVANIA AVE, SUITE A
BARDSTOWN, KY 40004
Nelson County (502) 349-6961
MR. TIMOTHY M WEST PA-C
Physician Assistant
875 PENNSYLVANIA AVE
BARDSTOWN, KY 40004
Nelson County (502) 348-5685
SAINT JOSEPH MEDICAL FOUNDATION, INC.
Orthopaedic Surgery
875 PENNSYLVANIA AVE
BARDSTOWN, KY 40004
Nelson County (502) 348-5685
AMY A. WALLS OTR/L
Occupational Therapist
875 PENNSYLVANIA AVE
BARDSTOWN, KY 40004
Nelson County (502) 349-6961
SAINT JOSEPH MEDICAL FOUNDATION, INC.
Durable Medical Equipment & Medical Supplies
875 PENNSYLVANIA AVE
BARDSTOWN, KY 40004
Nelson County (502) 348-5685
MARIAM HAYDON DONES PT, DPT
Physical Therapist
875 PENNSYLVANIA AVE
BARDSTOWN, KY 40004
Nelson County (502) 349-6961

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 Elliot Mattingly's NPI number?

The NPI number for Elliot Mattingly is 1154695864. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Elliot Mattingly located?

Elliot Mattingly practices at 875 Pennsylvania Ave, Bardstown, KY 40004. The listed phone number is (502) 349-6961.

What is Elliot Mattingly's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Elliot Mattingly enrolled in Medicare?

Yes. Elliot Mattingly 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.

When was this NPI record last updated?

The NPPES record for Elliot Mattingly was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.