Matthew Ryan Grant

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

TH2065 Issued in ME

Practice address

50 Engdahl Dr
Dover Foxcroft, ME 04426-3652

Phone

(978) 995-1736

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Linus Childcare LLC

  • Community/Behavioral Health Agency
  • Dover Foxcroft, ME
  • NPI 1023629060
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1003426651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAPLE ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261317",
            "telephone_number": "978-995-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ENGDAHL DR",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263652",
            "telephone_number": "978-995-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "ME",
            "license": "TH2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Garrettson, PT
• Susan E. Geetersloh, FNP
• Judith Ann Gilbert, RN
• Kristen Fowles Goddard, CADC
• Whitney Gould-Cookson, MS, RD, LD
• Abigail Lyn Green, APRN-CNP
• Michaella Elizabeth Greenwood, FNP
• Tiffany Grover, RT
• Karen Marie Gudroe, LCSW
• Brittany Hackett, PA-C

• Registered Respiratory Therapist in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Registered Respiratory Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.