Individual provider Active NPI

Megan Ann Matus, PT, DPT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1093482895
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018298 Issued in CO
Practice address
1551 Professional LN Unit 145
Longmont, CO 80501-6968
Phone
(720) 494-3290
Fax
(720) 494-3294
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0018298 CO Primary

Addresses

Primary practice location

1551 Professional LN Unit 145
Longmont, CO 80501-6968

Mailing address

1551 Professional LN Unit 145
Longmont, CO 80501-6968
Phone (720) 494-3290

Other practice location 1

1555 E Wadsworth Ave
Philadelphia, PA 19150-1617
Phone (267) 323-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220315000086 DC Practitioner - Physical Therapist in Private Practice 6103215603 Reassigns benefits to 1 organization
I20241021000560 TX Practitioner - Physical Therapist in Private Practice 6103215603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0018298COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Dec 27, 2022 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Dec 27, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
MVP Physical Therapy, LLC Physical Therapist PastSince Jun 5, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

7567 Greenbelt Rd
Greenbelt, MD 20770
Phone (301) 479-1008

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

1083 W Baltimore Pike
Ste E
Media, PA 19063
Phone (484) 214-4080

2000 Hamilton St
Ste 211
Philadelphia, PA 19130
Phone (215) 383-0220

1555 E Wadsworth Ave
Philadelphia, PA 19150
Phone (267) 323-2778

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1093482895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 145",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016968",
            "telephone_number": "720-494-3290",
            "fax_number": "720-494-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 145",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016968",
            "telephone_number": "720-494-3290",
            "fax_number": "720-494-3294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 E Wadsworth Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191501617",
            "country_code": "US",
            "telephone_number": "267-323-2778",
            "fax_number": "267-323-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUS",
        "first_name": "MEGAN",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.