Individual provider Active NPI

Matthew Braden Helleckson

  • Physical Therapist
  • Nanuet, NY
National Provider Identifier
1184137176
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042538 Issued in NY
Practice address
412 Market St
Nanuet, NY 10954-2744
Phone
(914) 370-8071
NPI assigned
Nov 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 042538 NY Primary

Addresses

Primary practice location

412 Market St
Nanuet, NY 10954-2744

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

1101 Stewart Ave
Garden City, NY 11530-4892
Phone (516) 536-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171214001109 NY Practitioner - Physical Therapist in Private Practice 7810255122 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

412 Market St
Nanuet, NY 10954-2744
Phone (914) 370-8071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042538NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Mar 14, 2022 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Oct 1, 2021 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince May 7, 2018 Accepting new patients
True North Medical Group PC CurrentSince Jan 27, 2018 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Mar 14, 2022 Accepting new patients
True North Medical Group PC Physical Therapist CurrentSince Jan 27, 2018 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Oct 17, 2021 Accepting new patients

Locations

584 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-2222

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

1101 Stewart Ave
Garden City, NY 11530
Phone (516) 794-2835

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

157 S Central Ave
Hartsdale, NY 10530
Phone (914) 428-9698

600 Bank Rd
Jefferson Vly, NY 10535
Phone (914) 245-8807

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568

88 Dunning Rd
Ste 110
Middletown, NY 10940
Phone (845) 209-3048

195 N Bedford Rd
Mount Kisco, NY 10549
Phone (914) 241-2688

412 Market St
Nanuet, NY 10954
Phone (347) 741-3619

175 Memorial Hwy
Ste 2
New Rochelle, NY 10801
Phone (914) 235-5354

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

21 Peekskill Hollow Rd
Ste 201
Putnam Valley, NY 10579
Phone (845) 528-3133

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

36 Lincoln Ave
Fl 2
Rockville Ctr, NY 11570
Phone (516) 766-2176

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080

3535 Hill Blvd
Ste P
Yorktown Heights, NY 10598
Phone (914) 962-2728

Organizations & group practices 7

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1184137176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MARKET ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542744",
            "telephone_number": "914-370-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304892",
            "country_code": "US",
            "telephone_number": "516-536-2800",
            "fax_number": "516-536-4588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLECKSON",
        "first_name": "MATTHEW",
        "middle_name": "BRADEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.