Matthew J Warren

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT09386 Issued in LA

Practice address

129 Corporate Dr
Covington, LA 70433-1057

Phone

(985) 249-6111

Fax

(985) 249-6109

NPI assigned

Jan 12, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy Services LLCGroup PAC ID 3577655794, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Physical Therapy Services LLC

  • Orthopedic Physical Therapist
  • Covington, LA
  • NPI 1639267974
  Medicare reassignment Care Compare group NPD
• Covington Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Covington, LA
  • NPI 1740347368
  Medicare reassignment NPD
• Momentum Physical Therapy LLC

  • Physical Therapist
  • Covington, LA
  • NPI 1336085067
  NPD Authorized official
• Takes2Tolingo, LLC

  • Hearing and Speech Clinic/Center
  • Bradenton, FL
  • NPI 1003427600
  NPD
• Dynamic Physical Therapy Services PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1497717375
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1205425402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT09386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Walsh, MD
• Geneal Poynter Walters, CCC-SLP
• Tamu A Walters, CAC
• Teresita M. Walters, BCBA, LBA
• Clark Warden, M.D.
• Tamara Shenee Washington
• Delia Waskom, FNP
• Victoria H Waterfield, LCSW
• Donald James Waterman Jr., PH.D.
• Heather A Watson, FNP

• Physical Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.