Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irish Matienzo

Individual provider Physical Therapist · NPI 1508622556

Irish Matienzo is a Physical Therapist in Private Practice in Orange City, Florida. Qualified in 2020, 6 years ago. Practices with Empowerme Rehabilitation Florida, LLC, a 150-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

969 Glazebrook Loop
Orange City, FL 32763-6610
Phone: (419) 944-3670
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 31353 (FL)

Record details

NPI number1508622556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address969 Glazebrook Loop, Orange City, FL 32763-6610

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Empowerme Rehabilitation Florida, Llc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orange City