Active NPI
Matthew David Giordanelli, PT, DPT, ATC, CSCS
- Physical Therapist
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15739
- Practice address
- 3500 JFK Pkwy Ste 120
Fort Collins, CO 80525-2635 - Phone
- (970) 663-6142
- Fax
- (970) 488-2850
- NPI assigned
- Jan 26, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14228-24 | WI | |
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | 15739 | CO | Primary |
Addresses
Primary practice location
3500 JFK Pkwy Ste 120
Fort Collins, CO 80525-2635
Mailing address
808 Terrace Ave
Kingsford, MI 49802-4224
Phone (906) 396-4352
Other practice location 1
108 S Frontage Rd W
Vail, CO 81657-5053
Phone (970) 479-7291
Other practice location 2
808 Terrace Ave
Kingsford, MI 49802
Phone (906) 396-4352
Other practice location 3
107 W 29th St Ste 100
Loveland, CO 80538-2200
Phone (970) 663-6142 ext. 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
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
Practice addresses (Care Compare)
1300 Riverside Ave
Suite 100
Fort Collins, CO 80524-4351
Phone 97066361423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15739 | CO | MD | Physical Therapist |
| 14228-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Sports & Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Berkana Rehabilitation, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
3500 John F Kennedy Pkwy
Ste 120
Fort Collins, CO 80525
Phone (970) 663-6142
1300 Riverside Ave
Ste 100
Fort Collins, CO 80524
Phone (970) 663-6142
2001 S Shields St
Ste A1
Fort Collins, CO 80526
Phone (970) 797-2431
107 W 29th St
Ste 100
Loveland, CO 80538
Phone (970) 663-6142
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 and National Provider Directory roles.
-
- Physical Therapist
- Loveland, CO
- NPI 1780680926
-
- Physical Therapy Clinic/Center
- Fort Collins, CO
- NPI 1497035059
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1154711398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 TERRACE AVE",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498024224",
"telephone_number": "906-396-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 JFK PKWY STE 120",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252635",
"telephone_number": "970-663-6142",
"fax_number": "970-488-2850"
}
],
"practiceLocations": [
{
"address_1": "108 S Frontage Rd W",
"address_purpose": "LOCATION",
"city": "Vail",
"state": "CO",
"postal_code": "816575053",
"country_code": "US",
"telephone_number": "970-479-7291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "808 Terrace Ave",
"address_purpose": "LOCATION",
"city": "Kingsford",
"state": "MI",
"postal_code": "49802",
"country_code": "US",
"telephone_number": "906-396-4352",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 W 29th St Ste 100",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805382200",
"country_code": "US",
"telephone_number": "970-663-6142 x1",
"fax_number": "970-635-3087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIORDANELLI",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"credential": "PT, DPT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-26",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14228-24",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "15739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.