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

Mr. Matthew Scott Mazara, PTA

Individual provider Physical Therapy Assistant · NPI 1053787689

Mr. Matthew Scott Mazara, PTA is a Physical Therapy Assistant in Diberville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

10470 Diberville Blvd
Diberville, MS 39540-2419
Phone: (228) 280-8120
Fax: (228) 280-8121
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5837 (MS)

Record details

NPI number1053787689
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESAugust 18, 2015

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