Active NPI
Matthew T Perry, DPT
- Physical Therapist
- Elkhorn, NE
National Provider Identifier
1124383328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3133
- Practice address
- 1408 Veterans Dr
102
Elkhorn, NE 68022-6912 - Phone
- (402) 289-3288
- Fax
- (402) 289-2550
- NPI assigned
- Jul 12, 2012
- 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 | 3133 | NE | Primary |
Addresses
Primary practice location
1408 Veterans Dr
102
Elkhorn, NE 68022-6912
Mailing address
1408 Veterans Dr
102
Elkhorn, NE 68022-6912
Phone (402) 289-3288
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3133 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1124383328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 VETERANS DR",
"address_2": "102",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680226912",
"telephone_number": "402-289-3288",
"fax_number": "402-289-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 VETERANS DR",
"address_2": "102",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680226912",
"telephone_number": "402-289-3288",
"fax_number": "402-289-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MATTHEW",
"middle_name": "T",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.