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

Matthew T Basa IV, PT

Individual provider Physical Therapist · NPI 1710184056

Matthew T Basa IV, PT is a Physical Therapist in Clarksville, Indiana. Practices as a sole proprietor. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

101 Potters Ln
Clarksville, IN 47129-1017
Phone: (812) 948-0808
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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 PT-004721 (KY)
Physical Therapist Taxonomy 225100000X · Licence 05008415A (IN)

Record details

NPI number1710184056
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESJuly 10, 2008
Mailing address101 Potters Ln, Clarksville, IN 47129-1017

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