Active NPI
Matthew Norman Terreri, D.C.
- Chiropractor
- Ashland, OR
National Provider Identifier
1013096965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3199
- Practice address
- 240 E Hersey St Ste 0
Ashland, OR 97520-5202 - Phone
- (541) 482-0625
- Fax
- (541) 482-3364
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3199 | OR | Primary |
Addresses
Primary practice location
240 E Hersey St Ste 0
Ashland, OR 97520-5202
Mailing address
240 E Hersey St Ste 0
Ashland, OR 97520-5202
Phone (541) 482-0625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245537521 | Other | OR | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
240 E Hersey St
Suite 0
Ashland, OR 97520-5201
Phone (541) 482-0625
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3199 | OR | MD | Clinical Psychologist |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Water Physical Therapy Incorporated | Past | Accepting new patients |
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
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.
-
- Chiropractor
- Ashland, OR
- NPI 1245537521
-
- Physical Therapist
- Ashland, OR
- NPI 1780912857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1013096965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 E HERSEY ST STE 0",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975205202",
"telephone_number": "541-482-0625",
"fax_number": "541-482-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 E HERSEY ST STE 0",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975205202",
"telephone_number": "541-482-0625",
"fax_number": "541-482-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRERI",
"first_name": "MATTHEW",
"middle_name": "NORMAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2023-02-10",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1245537521",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.