MEDICARE: LUIS MATOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	24297	FL

General Provider Information

NPI Number	:	1225689854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS MATOS

Provider Business Mailing Address
First Line	:	4666 FOUNTAINS DR S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5064
Country	:	US
Telephone Number	:	561-596-8684
Fax Number	:

Provider Business Practice Location Address
First Line	:	4666 FOUNTAINS DR S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5064
Country	:	US
Telephone Number	:	561-596-8684
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2019
Last Update Date	:	09/25/2019

Similar Medicare Providers

1477423283 — SASKHIA J DACCARETT
Practice Location Address:

5064 LANTANA RD APT 6210
LAKE WORTH, FL
33463-6873

Practice Phone: 561-388-2980
Practice Fax:

1063690212 — CORECARE, LLC
Practice Location Address:

1120 SOUTH FWY , SUITE 209
FORT WORTH, TX
76104-5064

Practice Phone: 817-877-1616
Practice Fax: 817-334-7994

1982907143 — NEURO DIAGNOSTIC HOME SERVICES, LLC
Practice Location Address:

1120 S FREEWAY , SUITE 204
FORT WORTH, TX
76104-5064

Practice Phone: 469-831-7111
Practice Fax:

1063839165 — SHELIA YVONNE MCKINNEY
Practice Location Address:

4623 MILLER AVE STE B
FORT WORTH, TX
76119-5064

Practice Phone: 817-988-7602
Practice Fax: 817-413-5572

1568799906 — RACHEL REBECCA BURGESS RN
Practice Location Address:

21622 E BITTERROOT LN
LIBERTY LAKE, WA
99019-5064

Practice Phone: 901-831-3678
Practice Fax:

1760804439 — COLEEN WATKINS
Practice Location Address:

21610 E BITTERROOT LN
LIBERTY LAKE, WA
99019-5064

Practice Phone: 208-277-8458
Practice Fax:

Directions to “ LUIS MATOS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.