Individual provider Active NPI

Matthew John Clements, PT, DPT

  • Physical Therapist
  • Ithaca, NY
National Provider Identifier
1194436592
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049831 Issued in NY
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

Updated by the provider on Dec 7, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20240410001457 CO Practitioner - Physical Therapist in Private Practice 4981042975 Reassigns benefits to 2 organizations

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
Rocky Mountain Physical Therapy, IncGroup PAC ID 6901947647, 22 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, 530 clinicians

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

LicenseStateTypeSpecialty
049831NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership Current Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Mar 29, 2024 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Mar 29, 2024 Accepting new patients
Cayuga Medical Center PastSince Dec 13, 2022 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.

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.

Verify at the official NPI Registry.