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

MS. Desiree Ann Mata, PT

Individual provider Physical Therapist · NPI 1235598392

MS. Desiree Ann Mata, PT is a Physical Therapist in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

1710 NE Fairview Ave
Grants Pass, OR 97526-3877
Phone: (541) 479-2606
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 06567 (OR)

Record details

NPI number1235598392
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 17, 2016
Last updated in NPPESFebruary 17, 2016

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