Individual provider Active NPI

Mathew J Watson, DPT, PT

  • Physical Therapist
  • Niagara Falls, NY
National Provider Identifier
1114498912
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043652 Issued in NY
Practice address
924 Main Street
Niagara Falls, NY 14301-1110
Phone
(716) 282-2888
Fax
(716) 285-1281
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 043652 NY Primary

Addresses

Primary practice location

924 Main Street
Niagara Falls, NY 14301-1110

Mailing address

924 Main Street
Niagara Falls, NY 14301-1110
Phone (716) 282-2888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805001994 NY Practitioner - Physical Therapist in Private Practice 8123355708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Physical Therapy Aquatics and Fitness PCGroup PAC ID 7113990466, 24 clinicians

Practice addresses (Care Compare)

924 Main St
Niagara Falls, NY 14301-1110
Phone (716) 282-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Physical Therapy Aquatics and Fitness PC Physical Therapist CurrentSince Jul 3, 2019 Accepting new patients
Rose Physical Therapy PLLC Physical Therapist Past Accepting new patients

Locations

1091 Main St
Ste 120
Buffalo, NY 14209

3980 Sheridan Dr
Ste 402
Buffalo, NY 14226
Phone (716) 204-4516

6000 Brockton Dr
Ste 107
Lockport, NY 14094
Phone (716) 302-3294

924 Main St
Niagara Falls, NY 14301

3780 Commerce Ct
Ste 300
North Tonawanda, NY 14120

15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734

5 Limestone Dr
Williamsville, NY 14221
Phone (585) 738-2505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1114498912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MAIN STREET",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011110",
            "telephone_number": "716-282-2888",
            "fax_number": "716-285-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MAIN STREET",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011110",
            "telephone_number": "716-282-2888",
            "fax_number": "716-285-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MATHEW",
        "middle_name": "J",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.