Individual provider Active NPI

Matthew Scott Sennott

  • Physical Therapist
  • Detroit, MI
National Provider Identifier
1104339191
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026546 Issued in PA
Practice address
690 Amsterdam St
Detroit, MI 48202-3410
Phone
(313) 651-1910
NPI assigned
Nov 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 PT026546 PA Primary

Addresses

Primary practice location

690 Amsterdam St
Detroit, MI 48202-3410

Mailing address

9365 McKnight Rd
Pittsburgh, PA 15237-5956

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msennott554516@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT026546PAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: msennott554516@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1104339191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 MCKNIGHT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 AMSTERDAM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023410",
            "telephone_number": "313-651-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENNOTT",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msennott554516@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "690 Amsterdam St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482023410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.