Active NPI
Matthew Joseph Mazzeo, DPT
- Physical Therapist
- Peyton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0018054
- Practice address
- 7622 McLaughlin Rd
Peyton, CO 80831-4710 - Phone
- (719) 495-3133
- Fax
- (719) 471-4415
- NPI assigned
- Dec 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18054 | CO | |
| Physical Therapist | 225100000X | PTL.0018054 | CO | Primary |
Addresses
Primary practice location
7622 McLaughlin Rd
Peyton, CO 80831-4710
Mailing address
4497 Gold Medal PT
Colorado Springs, CO 80923-7347
Other practice location 1
4025 Family Pl
Colorado Springs, CO 80920-7807
Phone (719) 471-4430
Other practice location 2
2816 Janitell Rd
Colorado Springs, CO 80906-4141
Phone (719) 527-0848
Other practice location 3
12229 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3790
Phone (719) 488-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18054 | CO | MD | Physical Therapist |
| PTL.0018054 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falcon Physical Therapy and Fitness | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
12229 Voyager Pkwy
Ste 150
Colorado Springs, CO 80921
Phone (719) 488-0120
7622 McLaughlin Rd
Peyton, CO 80831
Phone (719) 495-3133
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Physical Therapy Clinic/Center
- Peyton, CO
- NPI 1558446864
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1003575952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4497 GOLD MEDAL PT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809237347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7622 MCLAUGHLIN RD",
"city": "PEYTON",
"state": "CO",
"postal_code": "808314710",
"telephone_number": "719-495-3133",
"fax_number": "719-471-4415"
}
],
"practiceLocations": [
{
"address_1": "4025 Family Pl",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809207807",
"country_code": "US",
"telephone_number": "719-471-4430",
"fax_number": "719-471-4415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2816 Janitell Rd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809064141",
"country_code": "US",
"telephone_number": "719-527-0848",
"fax_number": "719-471-4415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12229 Voyager Pkwy Ste 150",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809213790",
"country_code": "US",
"telephone_number": "719-488-0120",
"fax_number": "719-471-4415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZZEO",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-08",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "18054",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0018054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peyton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.