MEDICARE: MATTISUN COGNASI

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	2251X0800X	Orthopedic Physical Therapist	3131314	TX

General Provider Information

NPI Number	:	1750075826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTISUN COGNASI

Provider Business Mailing Address
First Line	:	3214 RICKS ST
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79103-7329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 S KENTUCKY ST STE D130
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79102-2235
Country	:	US
Telephone Number	:	806-699-6787
Fax Number	:

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

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	01/14/2026

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Directions to “ MATTISUN COGNASI ” Practice Location

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