MEDICARE: JULIE MATKINS LPTA

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	PTA 1884	AR
2	101YM0800X	Mental Health Counselor	A2301013	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093956344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MATKINS LPTA

Provider Business Mailing Address
First Line	:	2113 LITTLE FLOCK DR
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-7042
Country	:	US
Telephone Number	:	479-621-0385
Fax Number	:

Provider Business Practice Location Address
First Line	:	2113 LITTLE FLOCK DR
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-7042
Country	:	US
Telephone Number	:	479-621-0385
Fax Number	:

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

Provider Enumeration Date	:	03/17/2009
Last Update Date	:	01/10/2026

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