Active NPI
Matthew Scott Kearns, DPT
- Physical Therapist
- Macedon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62-032994
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62-032994 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shuman Physical Therapy Associates, P.C. | Physical Therapist | Current | Accepting new patients |
| Brownstone Physical Therapy, P.C. | Current | 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.
-
- Physical Therapist
- Rochester, NY
- NPI 1003928755
NY, Physical Therapist
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.