Individual provider Active NPI

Matthew Christopher Stevens, PT, DPT

  • Physical Therapist
  • Medina, OH
National Provider Identifier
1144501065
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013274 Issued in OH
Practice address
700 E Washington St
Medina, OH 44256-2126
Phone
(330) 722-3781
Fax
(330) 725-6294
NPI assigned
Sep 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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 013274 OH Primary

Addresses

Primary practice location

700 E Washington St
Medina, OH 44256-2126

Mailing address

8015 Bentler Ave NE
Canton, OH 44721-2308
Phone (330) 936-3385

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

LicenseStateTypeSpecialty
013274OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Family Chiropractic, LLC CurrentSince Feb 21, 2014 Accepting new patients
Ferrell-Whited Physical Therapy Services,Inc Physical Therapist Past Accepting new patients
Ferrell Whited Physical Therapy Services, LLC Physical Therapist PastSince Feb 8, 2013 Accepting new patients

Locations

12891 State Rd
North Royalton, OH 44133
Phone (440) 230-2300

Organizations & group practices 3

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1144501065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 BENTLER AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212308",
            "telephone_number": "330-936-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562126",
            "telephone_number": "330-722-3781",
            "fax_number": "330-725-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.