Individual provider Active NPI

Matthew Craine, DPT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1255714176
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008009370 Issued in MO
Practice address
8880 NE 82ND Ter
Kansas City, MO 64158-1313
Phone
(816) 437-8122
Fax
(816) 407-9609
NPI assigned
Jul 9, 2015
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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 2008009370 MO Primary

Addresses

Primary practice location

8880 NE 82ND Ter
Kansas City, MO 64158-1313

Mailing address

8880 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224002315 MO Practitioner - Physical Therapist in Private Practice 5890090195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2703 Running Horse Rd
Platte City, MO 64079-7707
Phone (816) 858-3250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008009370MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Clinic LLP Current Accepting new patients
Saint Luke's Neighborhood Clinics, LLC Physical Therapist CurrentSince Apr 30, 2018 Accepting new patients
Saint Luke's Neighborhood Clinics, LLC Past Accepting new patients

Locations

6301 N Lucerne Ave
Rm A152
Kansas City, MO 64151
Phone (816) 569-1710

8880 NE 82nd Ter
Kansas City, MO 64158
Phone (816) 437-8122

2703 Running Horse Rd
Platte City, MO 64079
Phone (816) 858-3250

9400 E State Route 350
Raytown, MO 64133
Phone (816) 251-5700

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1255714176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581313",
            "telephone_number": "816-437-8122",
            "fax_number": "816-407-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581313",
            "telephone_number": "816-437-8122",
            "fax_number": "816-407-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAINE",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008009370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.