Active NPI
Matthew Arthur Genereux, PT, DPT
- Physical Therapist
- South Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6046
- Practice address
- 29 Fremont St
South Dartmouth, MA 02748-3806 - Phone
- (508) 817-6286
- NPI assigned
- Nov 24, 2021
- Last updated
- Nov 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5922 | NM | |
| Physical Therapist | 225100000X | PT6046 | ME | Primary |
Addresses
Primary practice location
29 Fremont St
South Dartmouth, MA 02748-3806
Mailing address
29 Fremont St
South Dartmouth, MA 02748-3806
Phone (508) 817-6286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NH
Enrollment records 2
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
Practice addresses (Care Compare)
167 Main St
Gorham, NH 03581-1637
Phone (603) 342-5060
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.34 of 100
- Quality
- 69.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6046 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Androscoggin Valley Hospital Inc | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Personally Fit Inc | Physical Therapist | Current | Accepting new patients |
Locations
11610 Iberia Pl
Ste 100
San Diego, CA 92128
Phone (858) 485-6706
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
167 Main St
Gorham, NH 03581
Phone (603) 342-5060
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.
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- NPI 1679526644
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- Medicare Defined Swing Bed Hospital Unit
- Berlin, NH
- NPI 1134266679
-
- Physical Therapist
- San Diego, CA
- NPI 1043390073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1265199269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 FREMONT ST",
"city": "SOUTH DARTMOUTH",
"state": "MA",
"postal_code": "027483806",
"telephone_number": "508-817-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 FREMONT ST",
"city": "SOUTH DARTMOUTH",
"state": "MA",
"postal_code": "027483806",
"telephone_number": "508-817-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENEREUX",
"first_name": "MATTHEW",
"middle_name": "ARTHUR",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-24",
"last_updated": "2021-11-24",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5922",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.