Individual provider Active NPI

Matthew Wright, DPT

  • Physical Therapist
  • Idaho Falls, ID
National Provider Identifier
1194570051
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9213 Issued in ID
Practice address
1680 E 1St St
Idaho Falls, ID 83401-4321
Phone
(208) 417-0090
NPI assigned
Apr 23, 2024
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 PT9213 ID Primary

Addresses

Primary practice location

1680 E 1St St
Idaho Falls, ID 83401-4321

Mailing address

1680 E 1St St
Idaho Falls, ID 83401-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240729000679 ID Practitioner - Physical Therapist in Private Practice 6305382110 Reassigns benefits to 2 organizations
I20260512002095 UT Practitioner - Physical Therapist in Private Practice 6305382110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians
Registered Physical Therapists IncGroup PAC ID 9537151733, 64 clinicians

Practice addresses (Care Compare)

1680 1St St
Idaho Falls, ID 83401-4321
Phone (208) 417-0090

1868 W 9800
Suite 200
South Jordan, UT 84095-4713
Phone (801) 676-2210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT9213IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
McDonald Rehab, PC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients

Locations

1680 E 1st St
Idaho Falls, ID 83401
Phone (208) 417-0090

3345 Potomac Way
Idaho Falls, ID 83404
Phone (208) 417-0090

1800 Flandro Dr
Ste 190
Pocatello, ID 83202
Phone (208) 233-2248

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1194570051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014321",
            "telephone_number": "208-417-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT9213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.