Individual provider Active NPI

Matthew Lacroix, DPT

  • Physical Therapist
  • Belmar, NJ
National Provider Identifier
1174155071
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02011100 Issued in NJ
Practice address
827 Belmar PLZ
Belmar, NJ 07719-2752
Phone
(732) 428-7472
NPI assigned
Feb 8, 2020
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 40QA02011100 NJ Primary

Addresses

Primary practice location

827 Belmar PLZ
Belmar, NJ 07719-2752

Mailing address

2 Main St Ste 1
Bradley Beach, NJ 07720-1062
Phone (732) 428-7472

Other practice location 1

1539 Atwood Ave Ste 202
Johnston, RI 02919-3262
Phone (401) 351-0515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518001601 NJ Practitioner - Physical Therapist in Private Practice 7113355686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 E Ogden Ave
Naperville, IL 60563-3103

220 E 42ND St
FL 6
New York, NY 10017-5831

Merit-based Incentive Payment System (MIPS)

Final score
84.67 of 100Reported as group
Quality
85
Improvement activities
40
Cost
68.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Current Rehabilitation Co LLC Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Pinnacle Rehabilitation & Sports Medicine,LLP Physical Therapist CurrentSince Apr 22, 2021 Accepting new patients
Attain Physical Therapy Physical Therapist CurrentSince Apr 14, 2021 Accepting new patients

Locations

827 Belmar Plz
Belmar, NJ 07719
Phone (732) 802-4720

2 Main St
Ste 1
Bradley Beach, NJ 07720
Phone (732) 807-4702

781 Brick Blvd
Brick, NJ 08723
Phone (732) 428-7472

1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004

2809 Route 88
Point Pleasant Boro, NJ 08742
Phone (732) 475-6745

1126 Lakewood Rd
Toms River, NJ 08753
Phone (732) 290-2273

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, 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": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1174155071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN ST STE 1",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201062",
            "telephone_number": "732-428-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BELMAR PLZ",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192752",
            "telephone_number": "732-428-7472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1539 Atwood Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193262",
            "country_code": "US",
            "telephone_number": "401-351-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-08",
        "last_updated": "2022-10-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02011100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.