Individual provider Active NPI

Matthew Maler, RPT

  • Orthopedic Physical Therapist
  • Southington, CT
National Provider Identifier
1245310994
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
007793 Issued in CT
Practice address
1095 West St Ste 6
Southington, CT 06489-1023
Phone
(860) 621-3899
Fax
(860) 621-0090
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 007793 CT Primary
Physical Therapist 225100000X 007793 CT

Addresses

Primary practice location

1095 West St Ste 6
Southington, CT 06489-1023

Mailing address

111 Wakelee Ave
Ansonia, CT 06401-1151
Phone (203) 734-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000365 CT Practitioner - Physical Therapist in Private Practice 6305914664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Connecticut School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Hartford Physical TherapyGroup PAC ID 5092813873, 4 clinicians

Practice addresses (Care Compare)

36 Woodland St
Hartford, CT 06105-2325
Phone (860) 522-2717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7793CTMDPharmacist
007793CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Physical Therapy Physical Therapist CurrentSince Jul 31, 2008 Accepting new patients

Locations

580 Cottage Grove Rd
Ste 101
Bloomfield, CT 06002
Phone (860) 286-1043

191 Franklin Ave
Hartford, CT 06114
Phone (860) 296-7460

36 Woodland St
#0
Hartford, CT 06105

36 Woodland St
Hartford, CT 06105
Phone (860) 522-2717

1095 West St
Unit 6
Southington, CT 06489
Phone (860) 621-3899

Organizations & group practices 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1245310994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011151",
            "telephone_number": "203-734-7900",
            "fax_number": "203-736-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 WEST ST STE 6",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891023",
            "telephone_number": "860-621-3899",
            "fax_number": "860-621-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALER",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "007793",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.