Individual provider Active NPI

Matthew Schumacher, DPT

  • Orthopedic Physical Therapist
  • Missoula, MT
National Provider Identifier
1013365386
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1921 Issued in ND
Practice address
2360 Mullan Rd Ste C
Missoula, MT 59808-1811
Phone
(406) 721-4436
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1921 ND Primary

Addresses

Primary practice location

2360 Mullan Rd Ste C
Missoula, MT 59808-1811

Mailing address

2360 Mullan Rd Ste C
Missoula, MT 59808-1811
Phone (406) 721-4436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818001383 ND Practitioner - Physical Therapist in Private Practice 4385937192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCS Physical Therapy, LLCGroup PAC ID 2668653890, 15 clinicians

Practice addresses (Care Compare)

207 W Front Ave
Bismarck, ND 58504-5514
Phone (701) 751-0994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1921NDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CCS Physical Therapy, LLC CurrentSince Jul 13, 2022 Accepting new patients
Rehabauthority, LLC Orthopedic CurrentSince Mar 31, 2022 Accepting new patients
Excel Orthopedic Physical Therapy Limited Partnership Orthopedic PastSince Oct 1, 2022 Accepting new patients

Locations

207 W Front Ave
Bismarck, ND 58504
Phone (701) 751-0994

3170 43rd St S
Ste 101
Fargo, ND 58104
Phone (701) 277-8448

5705 Highway 200
Hazen, ND 58545
Phone (701) 751-0994

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26683/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.schumacher.1@26683.direct.athenahealth.com

Organizations & group practices 3

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1013365386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MULLAN RD STE C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081811",
            "telephone_number": "406-721-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MULLAN RD STE C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081811",
            "telephone_number": "406-721-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ND",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.