Provider Demographics
NPI:1407083785
Name:TREBES, MATTHEW W (DPT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:W
Last Name:TREBES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6575 TRANSIT RD STE A
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1401
Mailing Address - Country:US
Mailing Address - Phone:716-428-3276
Mailing Address - Fax:716-428-3996
Practice Address - Street 1:6575 TRANSIT RD STE A
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1401
Practice Address - Country:US
Practice Address - Phone:716-428-3276
Practice Address - Fax:716-428-3996
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042837-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2075355Medicare PIN