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

Shelby Mata

Individual provider Physical Therapist · NPI 1114786100

Shelby Mata is a Physical Therapist in Waterbury, Connecticut. Licensed in Connecticut and Kansas. Registered with an NPI since 2024.

Licensed in
CT, KS
In the registry since
2024
Specialties on file
2

Practice location Address checks out

8 S Commons Rd
Waterbury, CT 06704-1035
Phone: (203) 759-1229
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14351 (CT)
Physical Therapist Taxonomy 225100000X · Licence 11-07243 (KS)

Record details

NPI number1114786100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

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