Individual provider Active NPI

Matthew Joseph Mazzeo, DPT

  • Physical Therapist
  • Peyton, CO
National Provider Identifier
1003575952
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018054 Issued in CO
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

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240818000062 FL Practitioner - Physical Therapist in Private Practice 5092106674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18054COMDPhysical Therapist
PTL.0018054COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Falcon Physical Therapy and Fitness Physical Therapist Current Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 18, 2024 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.

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.

Verify at the official NPI Registry.