EMILY MATTINGLY (DPT) – Physical Therapist, NPI 1265145718

EMILY MATTINGLY (DPT) is a healthcare provider. based in Perryville, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2022048397 (MO). The NPI Number for EMILY MATTINGLY (DPT) is 1265145718

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
EMILY MATTINGLY (DPT)
NPI
1265145718
Phone
Not provided
Address
206 HOSPITAL LN STE 100
Enumeration Date
29 December 2022
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5739875338
Graduation Year
2022 (4 years ago)
PAC ID
7113392663
Group Practice PAC ID
9830236769
Professional Enrollment ID
I20230414000415
Address ID
MO637552951JA2927XBLVD400

Contacts

Secure Messaging
emily@midamericarehab.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness95
Years active:3State licenses:1Other names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for EMILY MATTINGLY (DPT)

  • 206 HOSPITAL LN STE 100

    PERRYVILLE, MO 637751382

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230414000415IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63775)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830236769View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MO
-MO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What is EMILY MATTINGLY (DPT)'s NPI number?
EMILY MATTINGLY (DPT)'s NPI is 1265145718 — the number used across U.S. healthcare to identify this provider.
Is EMILY MATTINGLY (DPT) shown as active in public data?
Registry records indicate EMILY MATTINGLY (DPT) maintains an active NPI.
What expertise is attributed to EMILY MATTINGLY (DPT)?
EMILY MATTINGLY (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is EMILY MATTINGLY (DPT) located near Perryville?
EMILY MATTINGLY (DPT) currently maps to Perryville, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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