Individual provider Active NPI

Matthew John Condame, PT, DPT

  • Physical Therapist
  • Macedon, NY
National Provider Identifier
1154077410
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1900 State Route 31 Ste 12
Macedon, NY 14502-8943
Phone
(315) 986-4655
Fax
(315) 986-5901
NPI assigned
Feb 25, 2022
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 Primary

Addresses

Primary practice location

1900 State Route 31 Ste 12
Macedon, NY 14502-8943

Mailing address

1900 State Route 31 Ste 12
Macedon, NY 14502-8943
Phone (315) 986-4655

Other practice location 1

513 W Union St
Newark, NY 14513-1365
Phone (315) 331-3784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414001722 NY Practitioner - Physical Therapist in Private Practice 6507252715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Brownstone Physical Therapy, P.C. CurrentSince Mar 9, 2022 Accepting new patients

Locations

1900 State Route 31
Ste 12
Macedon, NY 14502
Phone (315) 331-3784

515 Sampson Dr
Ste 201
Macedon, NY 14502
Phone (315) 538-0149

513 W Union St
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, 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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1154077410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ROUTE 31 STE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655",
            "fax_number": "315-986-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ROUTE 31 STE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655",
            "fax_number": "315-986-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 W Union St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131365",
            "country_code": "US",
            "telephone_number": "315-331-3784",
            "fax_number": "315-331-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDAME",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Feb 25, 2022; 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.