MATTHEW COREY MATLOCK (PTA) – Physical Therapy Assistant, NPI 1013994417
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2025-12-18. Reason: License revocation, suspension, or surrender.
Physical Therapy Assistant
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Profile Insights
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Provider Addresses for MATTHEW COREY MATLOCK (PTA)
4691, South University Drive, Davie, Broward County, Florida, 33328, United States
DAVIE, FL 333283817
Phone: (954) 434-7246
Fax: (954) 434-8104
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33328)
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