Active NPI
Matthew John Clements, PT, DPT
- Physical Therapist
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049831
- Practice address
- 310 Taughannock Blvd
Ithaca, NY 14850-3251 - Phone
- (607) 252-3500
- Fax
- (607) 252-3505
- NPI assigned
- Dec 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049831 | NY | Primary |
Addresses
Primary practice location
310 Taughannock Blvd
Ithaca, NY 14850-3251
Mailing address
310 Taughannock Blvd
Ithaca, NY 14850-3251
Phone (607) 252-3500
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1307 E Prospect Rd
Suite 120
Fort Collins, CO 80525-1191
Phone (970) 568-8461
2121 E Harmony Rd
Suite 310
Fort Collins, CO 80528-9503
Phone (970) 672-8875
4617 W 20TH St
Unit a Select PT
Greeley, CO 80634-3207
Phone (970) 352-9022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049831 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Cayuga Medical Center | Past | Accepting new patients |
Locations
4617 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 352-9022
8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622
Organizations & group practices 5
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 Therapy Clinic/Center
- Westminster, CO
- NPI 1346896081
-
- Physical Therapist
- Windsor, CO
- NPI 1790013001
-
- Physical Therapy Clinic/Center
- Fort Collins, CO
- NPI 1881237451
-
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1942279567
-
- Rural Acute Care Hospital
- Ithaca, NY
- NPI 1477877876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1194436592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 TAUGHANNOCK BLVD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503251",
"telephone_number": "607-252-3500",
"fax_number": "607-252-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 TAUGHANNOCK BLVD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503251",
"telephone_number": "607-252-3500",
"fax_number": "607-252-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.