Individual provider Active NPI

Thyra Isabel Matias, RPA-C

  • Surgical Physician Assistant
  • Attleboro, MA
National Provider Identifier
1093015745
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA5665 Issued in MA
Practice address
100 Oneil Blvd
Attleboro, MA 02703-4250
Phone
(508) 316-1103
Fax
(508) 342-1945
NPI assigned
Oct 28, 2010
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 014402 NY
Surgical Physician Assistant 363AS0400X PA5665 MA Primary

Addresses

Primary practice location

100 Oneil Blvd
Attleboro, MA 02703-4250

Mailing address

100 Oneil Blvd
Attleboro, MA 02703-4250
Phone (508) 342-1103

Other identifiers 1

IdentifierTypeStateIssuer
PA5665OtherMAMA LICENSE

Other names 1

  • Thyra Isabel Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315001565 MA Practitioner - Physician Assistant 7416136403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, 191 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014402NYMDPhysical Therapist
PA5665MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health, Inc. CurrentSince Jan 30, 2018 Accepting new patients
Sturdy Health Inc CurrentSince Jan 30, 2018 Accepting new patients
Prime Healthcare Services Landmark LLC Surgical Past Accepting new patients
Sturdy Health Inc Past Accepting new patients

Locations

100 Oneil Blvd
Attleboro, MA 02703
Phone (508) 342-1101

281 County St
Attleboro, MA 02703
Phone (508) 223-2300

Interoperability endpoints

  • Direct secure messaging: tjohnson@hamiltonorthopedic.medentdirect.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1093015745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ONEIL BLVD",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034250",
            "telephone_number": "508-342-1103",
            "fax_number": "508-342-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ONEIL BLVD",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034250",
            "telephone_number": "508-316-1103",
            "fax_number": "508-342-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "THYRA",
        "middle_name": "ISABEL",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014402",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA5665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "PA5665",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THYRA",
            "last_name": "JOHNSON",
            "middle_name": "ISABEL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.