Active NPI
Matthew Allan Grayson Midkiff, PT DPT CSCS
- Physical Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5882
- Practice address
- 825 E Warner Rd
Ste C-100
Chandler, AZ 85225-0994 - Phone
- (480) 722-0300
- Fax
- (480) 722-0302
- NPI assigned
- Jun 27, 2006
- 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 | 5882 | AZ | Primary |
Addresses
Primary practice location
825 E Warner Rd
Ste C-100
Chandler, AZ 85225-0994
Mailing address
825 E Warner Rd
Ste C-100
Chandler, AZ 85225-0994
Phone (480) 722-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5882 | AZ | MD | Independent Medical Examiner Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Stat,LLC | Past | Accepting new patients | |
| Catz Physical Therapy | Past | Accepting new patients |
Locations
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
1702 S Val Vista Dr
Ste 107
Mesa, AZ 85204
Phone (480) 505-8140
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
21811 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 513-6854
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
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 Therapist
- Phoenix, AZ
- NPI 1558318170
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
dba ProActive Physical Therapy
- Physical Therapist
- Tucson, AZ
- NPI 1699405050
-
- Clinic/Center
- Chandler, AZ
- NPI 1932391299
-
- Physical Therapy Clinic/Center
- Chandler, AZ
- NPI 1023317112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1194752907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E WARNER RD",
"address_2": "STE C-100",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852250994",
"telephone_number": "480-722-0300",
"fax_number": "480-722-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E WARNER RD",
"address_2": "STE C-100",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852250994",
"telephone_number": "480-722-0300",
"fax_number": "480-722-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDKIFF",
"first_name": "MATTHEW",
"middle_name": "ALLAN GRAYSON",
"name_prefix": "Dr.",
"credential": "PT DPT CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.