Provider Demographics
NPI:1548238652
Name:ECONOMY, MATTHEW THOMAS (MSPT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:THOMAS
Last Name:ECONOMY
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:WINTERPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04496-0423
Mailing Address - Country:US
Mailing Address - Phone:678-849-6426
Mailing Address - Fax:866-220-5031
Practice Address - Street 1:27 CROSS ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6356
Practice Address - Country:US
Practice Address - Phone:207-338-3955
Practice Address - Fax:207-338-2642
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT4183225100000X
TNPT0000007385225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00456591OtherMEDICARE RAILROAD
P00456591OtherMEDICARE RAILROAD