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

Jose Luis Mata Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1073127817

Jose Luis Mata Jr., PTA is a Physical Therapy Assistant in Laredo, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4500 San Bernardo Ave Ste 108
Laredo, TX 78041-5718
Phone: (956) 284-0100
Fax: (956) 284-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2155064 (TX)

Record details

NPI number1073127817
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

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