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MRS. MARY THERESE MATTINA
NPI 1366918286
Physical Therapist - Orthopedic in Washington Township, MI

Active since October 18, 2018
12150 30 MILE RD STE 102, WASHINGTON TOWNSHIP, MI 48095(586) 336-2480(586) 336-2481 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2022, Apr 6, 2021, Oct 18, 2018 (3 updates tracked since 2018).

About Mrs. Mary Therese Mattina NPPES

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

MRS. MARY THERESE MATTINA (NPI 1366918286) is an individual orthopedic provider in Washington Township, Michigan, licensed in Michigan (5501004313) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1366918286
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameMRS. MARY THERESE MATTINA
Location Address12150 30 MILE RD STE 102Washington Township, MI 48095-2035
Mailing Address12150 30 Mile Rd Ste 102Washington Township, MI 48095-2035 · (586) 336-2480 · Fax (586) 336-2481
Phone(586) 336-2480
Fax(586) 336-2481
Sole ProprietorNo
Enumeration DateOctober 18, 2018
Last NPPES UpdateFebruary 15, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1366918286 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 MI · 5501004313
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.
12150 30 MILE RD STE 102, Washington Township, MI 48095
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Other Providers at the Same Location NPPES 3

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

ALYSSA VINCKIER PT
Physical Therapist
12150 30 MILE RD STE 102
WASHINGTON TWP, MI 48095
Macomb County (586) 336-2480
CLARA HUGHES
Physical Therapy Assistant
12150 30 MILE RD STE 102
WASHINGTON TWP, MI 48095
Macomb County (586) 336-2480
CORY RANDALL ARNOLD PT, DPT
Physical Therapist
12150 30 MILE RD STE 102
WASHINGTON, MI 48095
Macomb County (586) 336-2480

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 Mary Mattina's NPI number?

The NPI number for Mary Mattina is 1366918286. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Mary Mattina located?

Mary Mattina practices at 12150 30 Mile Rd Ste 102, Washington Township, MI 48095. The listed phone number is (586) 336-2480.

What is Mary Mattina's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Mattina was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.