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Jon R. Mathis

NPI 1063970291ActiveIndividual· Specialist/Technologist, Athletic Trainer· Prospect Park, PA

Specialist/Technologist, Athletic Trainer with Precision Performance Physical Therapy, practicing in Prospect Park, Pennsylvania. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1063970291
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 6, 2019
Last updated in NPPESMar 6, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Specialist/Technologist, Athletic Trainer Primary2255A2300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (PA)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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