Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shane Anthony Mata, PT, DPT

Individual provider Physical Therapist · NPI 1134636202

Dr. Shane Anthony Mata, PT, DPT is a Physical Therapist in Livingston, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

600 S Livingston Ave
Livingston, NJ 07039-5419
Phone: (973) 992-0733
Fax: (973) 992-0734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01754500 (NJ)

Record details

NPI number1134636202
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 10, 2018
Last updated in NPPESMarch 21, 2018

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