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Physician Compare National (NPI:1326098427)

HEALTHCARE PROVIDER: MATTHEW KEVIN HUBBLE PT, MOMT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1326098427
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2860404654
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060616000252
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HUBBLE
Individual professional last name
Provider First Name MATTHEW
Individual professional first name
Provider Middle Name K
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1990
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name METRO PHYSICAL THERAPY OF SCOTTSDALE
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 1052323847
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9332 N 95TH WAY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 105
Group Practice or individual's line 2 address
City SCOTTSDALE
Group Practice or individual's city
State AZ
Group Practice or individual's state
Zip Code 852585536
Group Practice or individual's zip code (9 digits when available)
Phone Number 4806145878
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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