MEDICARE: ALLISON DIMATTIA PT, DPT

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	225100000X	Physical Therapist	07079	LA

General Provider Information

NPI Number	:	1639234719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON DIMATTIA PT, DPT

Provider Business Mailing Address
First Line	:	8080 BLUEBONNET BLVD STE 1000
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-7827
Country	:	US
Telephone Number	:	225-408-6633
Fax Number	:	225-206-2656

Provider Business Practice Location Address
First Line	:	625 S BURNSIDE AVE STE 9
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-3400
Country	:	US
Telephone Number	:	225-215-4438
Fax Number	:	225-647-3115

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

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	06/01/2026

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Directions to “ ALLISON DIMATTIA PT, DPT” Practice Location

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