MEDICARE: MATTHEW WILLIAM MAINELLI 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	1364676	TX

General Provider Information

NPI Number	:	1477280634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW WILLIAM MAINELLI PT, DPT

Provider Business Mailing Address
First Line	:	1911 IOWA AVE NE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33703-3425
Country	:	US
Telephone Number	:	727-667-2776
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 S CAPITAL OF TEXAS HWY
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-7742
Country	:	US
Telephone Number	:	512-225-6909
Fax Number	:

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

Provider Enumeration Date	:	08/06/2022
Last Update Date	:	05/24/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1790230316 — MRS. SYLVIE WAMBA
Practice Location Address:

7742 LAKOTA HILLS DR
WEST CHESTER, OH
45069-1441

Practice Phone: 513-609-8524
Practice Fax:

1427269570 — CULLEN MICHAEL NIGRINI PT
Practice Location Address:

2501 S CAPITAL OF TEXAS HWY
AUSTIN, TX
78746-7742

Practice Phone: 512-609-0771
Practice Fax: 888-854-2849

1225758436 — JOHN PATRICK DOWLING DPT
Practice Location Address:

2501 S CAPITAL OF TEXAS HWY
AUSTIN, TX
78746-7742

Practice Phone: 512-225-6909
Practice Fax:

1912898594 — BLAINE ELLIOT ALYSON VAN HOOSIER
Practice Location Address:

6352 BRYNWYCK LN
NORTH RICHLAND HILLS, TX
76182-7742

Practice Phone: 832-331-1201
Practice Fax:

1043590698 — MS. WINNIE WAMBUI MUKUHA OTR/L
Practice Location Address:

573 DARLINGTON LN , APT5
CRYSTAL LAKE, IL
60014-7742

Practice Phone: 815-451-7281
Practice Fax: 815-893-0039

Directions to “ MATTHEW WILLIAM MAINELLI PT, DPT” 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.