Active NPI
Matthew A Reis, PT, DPT
- Physical Therapist
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01771700
- Practice address
- 454 Passaic St
Hackensack, NJ 07601-1519 - Phone
- (201) 488-7905
- Fax
- (201) 488-7901
- NPI assigned
- Aug 9, 2013
- Last updated
- Oct 18, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE009558 | PA | |
| Physical Therapist | 225100000X | 40QA01771700 | NJ | Primary |
Addresses
Primary practice location
454 Passaic St
Hackensack, NJ 07601-1519
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (888) 830-4125
Other practice location 1
145 Piermont Rd
Tenafly, NJ 07670-1022
Phone (201) 568-3355
Other practice location 2
1324 N Church St
Suite #4
Hazle Township, PA 18202-9307
Phone (570) 501-1808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
454 Passaic St
Hackensack, NJ 07601-1519
Phone (201) 488-7905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE009558 | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
| Hazleton Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Madison PT of New Jersey, PC | Physical Therapist | Past | Accepting new patients |
Locations
105 Union Ave
Cresskill, NJ 07626
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
219 Richmond Ave
New Milford, NJ 07646
Phone (201) 907-3150
400 State Rt 17
Ste 1
Ridgewood, NJ 07450
Phone (201) 445-8600
444 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 218-2677
145 Piermont Rd
Tenafly, NJ 07670
Phone (201) 568-3355
354 Old Hook Rd
Ste G1
Westwood, NJ 07675
Phone (201) 594-9312
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 6
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.
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- Physical Medicine & Rehabilitation Physician
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Physical Therapist
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- Westwood, NJ
- NPI 1740369347
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- Physical Medicine & Rehabilitation Physician
- Hazle Township, PA
- NPI 1346330164
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1083046304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "888-830-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 PASSAIC ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011519",
"telephone_number": "201-488-7905",
"fax_number": "201-488-7901"
}
],
"practiceLocations": [
{
"address_1": "145 Piermont Rd",
"address_purpose": "LOCATION",
"city": "Tenafly",
"state": "NJ",
"postal_code": "076701022",
"country_code": "US",
"telephone_number": "201-568-3355",
"fax_number": "201-568-3350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1324 N Church St",
"address_2": "Suite #4",
"address_purpose": "LOCATION",
"city": "Hazle Township",
"state": "PA",
"postal_code": "182029307",
"country_code": "US",
"telephone_number": "570-501-1808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIS",
"first_name": "MATTHEW",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE009558",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01771700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.