Matthew Standage

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

755 N 20TH St
Ozark, MO 65721-9155

Phone

(417) 731-7094

NPI assigned

Dec 4, 2018

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Willard Physical Therapy Center LLCGroup PAC ID 8123417037, 6 clinicians

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aegis Group Practice LLC

  • Occupational Therapist
  • Kirkwood, MO
  • NPI 1558819508

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Willard Physical Therapy Center LLC

  • Physical Therapy Clinic/Center
  • Willard, MO
  • NPI 1528737780

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Springfield, MO
  • NPI 1902516727
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1093285967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N 25TH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 20TH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219155",
            "telephone_number": "417-731-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDAGE",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Krysten Smith
• Mary Helen Snider, LPC
• Katelyn Spain, M.S. CCC-SLP
• St Johns Clinic Inc (SJC-Ozark)
• Tina Stafford
• Jerry Lee Stankewitz
• Cynthia Aline Steding, ACNP-AG
• Peyton Steele
• Olga Neiman Steffens, MD
• Katelyn Nicole Stewart, M.S., CCC-SLP

• Physical Therapist in Ozark, MO
• Providers in Ozark, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.

Verify at the official NPI Registry.