Active NPI
Matthew Calendrillo, DPT, BOCO
- Specialist
- Suffield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 007740
- Practice address
- 68 Bridge Street
Suite 111
Suffield, CT 06078-3107 - Phone
- (860) 254-5190
- Fax
- (860) 254-5190
- NPI assigned
- Jul 18, 2008
- Last updated
- Feb 6, 2020
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 007740 | CT | Primary |
| Physical Therapist | 225100000X | 24148 | MA |
Addresses
Primary practice location
68 Bridge Street
Suite 111
Suffield, CT 06078-3107
Mailing address
68 Bridge St
Suite 111
Suffield, CT 06078-3107
Phone (860) 254-5190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
138 Hopmeadow St
Simsbury, CT 06089-9793
Phone (860) 413-2073
258 Middlesex St
Springfield, MA 01109-2826
Phone (860) 413-2073
768 S St
Suffield, CT 06078-2514
Phone (860) 413-2073
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.19 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 70.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007740 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Every Day LLC | Physical Therapist | Current | Accepting new patients |
| Live Every Day | Past | Accepting new patients | |
| Live Every Day L.L.C | Past | Accepting new patients | |
| Physical Therapy Plus LLC | Physical Therapist | Past | Accepting new patients |
Locations
68 Bridge St
Unit 111
Suffield, CT 06078
Phone (860) 254-5190
138 Hopmeadow St
Weatogue, CT 06089
Phone (860) 413-2073
258 Middlesex St
Springfield, MA 01109
Phone (860) 413-2073
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- Suffield, CT
- NPI 1598958720
-
- Prosthetic/Orthotic Supplier
- Weatogue, CT
- NPI 1306267034
-
dba Enfield Physical Therapy LLC
- Physical Therapy Clinic/Center
- Enfield, CT
- NPI 1730113051
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1043475098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 BRIDGE ST",
"address_2": "SUITE 111",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060783107",
"telephone_number": "860-254-5190",
"fax_number": "860-254-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 BRIDGE STREET",
"address_2": "SUITE 111",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060783107",
"telephone_number": "860-254-5190",
"fax_number": "860-254-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALENDRILLO",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "DPT, BOCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "007740",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24148",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.