Matthew J. Govednik

Physical Therapy Assistant · Dwight, IL

Individual Active NPI

NPI number 1194280024

Practice location

300 E Mazon Ave
Dwight, IL 60420-1104
Phone
(815) 584-1240

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NPI record

NPI
1194280024
Entity type
Individual (Type 1)
Enumeration date
February 5, 2019
Last updated
February 5, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.008221 IL

Mailing address

945 W Bergera Rd
Braidwood, IL 60408-1657
Phone
(815) 302-0101

About Matthew Govednik

Matthew J. Govednik is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 300 E Mazon Ave, Dwight, IL 60420-1104. The NPI number 1194280024 was assigned on February 5, 2019 and the record was last updated on February 5, 2019.

Matthew Govednik lists a license in the registry: #160.008221 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew J. Govednik?

The NPI number is 1194280024.

What is the phone number of Matthew Govednik?

The phone number listed for the practice location is (815) 584-1240.

Where is Matthew Govednik located?

300 E Mazon Ave, Dwight, IL 60420-1104.

What is the taxonomy code for Matthew Govednik?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.