Active NPI
Matthieu Laurent, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1033677018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041960
- Practice address
- 302 5TH Avenue, 8TH Floor
Suite 818
New York, NY 10001 - Phone
- (646) 979-0905
- Fax
- (646) 810-6489
- NPI assigned
- Mar 7, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041960 | NY | Primary |
Addresses
Primary practice location
302 5TH Avenue, 8TH Floor
Suite 818
New York, NY 10001
Mailing address
302 5TH Avenue, 8TH Floor
Suite 818
New York, NY 10001
Phone (646) 979-0905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1033677018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 5TH AVENUE, 8TH FLOOR",
"address_2": "SUITE 818",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "646-979-0905",
"fax_number": "646-810-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 5TH AVENUE, 8TH FLOOR",
"address_2": "SUITE 818",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "646-979-0905",
"fax_number": "646-810-6489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENT",
"first_name": "MATTHIEU",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.