Active NPI
Matthew Karl Thompson, RPT
- Physical Therapist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10471
- Practice address
- 308 S Harbor City Blvd
Suite B
Melbourne, FL 32901-1500 - Phone
- (321) 951-2416
- Fax
- (321) 951-2077
- NPI assigned
- Nov 17, 2005
- Last updated
- Oct 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10471 | FL | Primary |
Addresses
Primary practice location
308 S Harbor City Blvd
Suite B
Melbourne, FL 32901-1500
Mailing address
4957 Rosewood LN
Melbourne, FL 32940-7168
Phone (321) 951-2416
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y6308 | Other | FL | BLUE CROSS/BLUE SHIELD PR |
| 888624500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
307 E New Haven Ave
Suite 2
Melbourne, FL 32901-4576
Phone (321) 953-3991
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.19 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor City Physical Therapy, PA | Physical Therapist | Current | Accepting new patients |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current | Accepting new patients |
Locations
5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500
307 E New Haven Ave
Ste 2
Melbourne, FL 32901
Phone (321) 953-3991
308 S Harbor City Blvd
Ste A
Melbourne, FL 32901
Phone (321) 254-9060
5000 N Wickham Rd
Ste 107
Melbourne, FL 32940
Phone (321) 701-4020
150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000
389 Commerce Pkwy
Ste 100
Rockledge, FL 32955
Phone (321) 305-6567
389 Commerce Pkwy
Ste 120
Rockledge, FL 32955
Phone (321) 639-0344
13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500
1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300
1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- mthompson@nationalspine.emadirect.md
Organizations & group practices 8
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.
-
- Physical Therapist
- Melbourne, FL
- NPI 1033243936
-
- Interventional Pain Medicine Physician
- Delray Beach, FL
- NPI 1902064876
-
dba NSCOA The Villages
- Ambulatory Surgical Clinic/Center
- Lady Lake, FL
- NPI 1063853174
-
dba Nscoa
- Ambulatory Surgical Clinic/Center
- Winter Park, FL
- NPI 1770724122
-
dba NSCOA Delray Beach
- Ambulatory Surgical Clinic/Center
- Delray Beach, FL
- NPI 1992040976
-
- Physical Therapist
- Melbourne, FL
- NPI 1962483370
-
- Specialist
- Delray Beach, FL
- NPI 1053363457
-
- Specialist
- Fort Lauderdale, FL
- NPI 1598347726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1083696884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 ROSEWOOD LN",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407168",
"telephone_number": "321-951-2416",
"fax_number": "321-951-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 S HARBOR CITY BLVD",
"address_2": "SUITE B",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011500",
"telephone_number": "321-951-2416",
"fax_number": "321-951-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MATTHEW",
"middle_name": "KARL",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD PR",
"identifier": "Y6308",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888624500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.