Individual provider Active NPI

Matthew Bryant Maasen, DPT

  • Physical Therapist
  • Jefferson City, MO
National Provider Identifier
1265006662
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1705 Christy Dr Ste 200
Jefferson City, MO 65101-5195
Phone
(573) 659-5515
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 Primary

Addresses

Primary practice location

1705 Christy Dr Ste 200
Jefferson City, MO 65101-5195

Mailing address

7215 Route Y
Jefferson City, MO 65101-9195
Phone (573) 821-6239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916000925 MO Practitioner - Physical Therapist in Private Practice 8527465657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Missouri Physical Therapy LLCGroup PAC ID 6901870187, 59 clinicians
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1002 Diamond RDG
Suite 800
Jefferson City, MO 65109-7906
Phone (573) 761-9360

1705 Christy Dr
Suite 200
Jefferson City, MO 65101-5195
Phone (573) 659-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Missouri Physical Therapy LLC Physical Therapist CurrentSince Jun 17, 2021 Accepting new patients
Boone Physician Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Westside Rehab, Inc Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579

126 S Main St
Gravois Mills, MO 65037
Phone (573) 374-7579

1002 Diamond Rdg
Ste 800
Jefferson City, MO 65109
Phone (573) 761-9360

1705 Christy Dr
Ste 200
Jefferson Cty, MO 65101
Phone (573) 634-3338

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1265006662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 ROUTE Y",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651019195",
            "telephone_number": "573-821-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CHRISTY DR STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015195",
            "telephone_number": "573-659-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASEN",
        "first_name": "MATTHEW",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.