Individual provider Active NPI

Matthew Scott Kearns, DPT

  • Physical Therapist
  • Macedon, NY
National Provider Identifier
1104132455
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62-032994 Issued in NY
Practice address
1900 Route 31 Ste 12
Macedon, NY 14502-8943
Phone
(315) 986-4655
NPI assigned
Aug 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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 62-032994 NY Primary

Addresses

Primary practice location

1900 Route 31 Ste 12
Macedon, NY 14502-8943

Mailing address

1900 Route 31 Ste 12
Macedon, NY 14502-8943
Phone (315) 986-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000070 NY Practitioner - Physical Therapist in Private Practice 8820277023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PC 142 clinicians

Practice addresses (Care Compare)

515 Sampson Dr
Suite 201
Macedon, NY 14502-8203
Phone (315) 538-0149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62-032994NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Brownstone Physical Therapy, P.C. CurrentSince Oct 17, 2010 Accepting new patients

Locations

515 Sampson Dr
Ste 201
Macedon, NY 14502
Phone (315) 538-0149

1900 State Route 31
Ste 12
Macedon, NY 14502
Phone (315) 331-3784

513 W Union St
Ste 254
Newark, NY 14513
Phone (315) 331-3784

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

Organizations & group practices 2

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1104132455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROUTE 31 STE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROUTE 31 STE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62-032994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.