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NPI Code Detail

MEDICARE: DR. MATTHEW THOMAS SELIGA DPT

MEDICARE:  DR. MATTHEW THOMAS SELIGA  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
1225100000XPhysical Therapist1219832TX

General Provider Information

NPI Number : 1932454154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW THOMAS SELIGA DPT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-1980
Fax Number :
Provider Business Practice Location Address
First Line : 4560 HERITAGE TRACE PKWY STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-8953
Country : US
Telephone Number : 817-697-5742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2012
Last Update Date : 02/16/2026

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Directions to “ DR. MATTHEW THOMAS SELIGA DPT” Practice Location

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