Healthcare Provider Details

I. General information

NPI: 1528520327
Provider Name (Legal Business Name): NATALIE MATHEWS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 04/06/2020
Certification Date: 04/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1797 HILL RD N STE 101
PICKERINGTON OH
43147-7997
US

IV. Provider business mailing address

600 OAKMONT LN STE 600C
WESTMONT IL
60559-5548
US

V. Phone/Fax

Practice location:
  • Phone: 614-494-0140
  • Fax: 614-494-0141
Mailing address:
  • Phone: 630-575-6250
  • Fax: 630-575-7450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018534
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: