Matthew K. Hathaway, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3576 Issued in OK

Practice address

512 SE Washington Blvd
Bartlesville, OK 74006-8231

Phone

(918) 333-4343

Fax

(918) 333-4355

NPI assigned

Oct 12, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Therapy Specialists, LLCGroup PAC ID 1759294689, 16 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.

• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1033277413
  Medicare reassignment Care Compare group NPD
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Muskogee, OK
  • NPI 1942368329
  NPD
• Physical Therapy Services of Bartlesville Inc

  • Physical Therapist
  • Bartlesville, OK
  • NPI 1902844582
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1275521437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 W HOUSTON ST STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-1888",
            "fax_number": "918-251-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068231",
            "telephone_number": "918-333-4343",
            "fax_number": "918-333-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "MATTHEW",
        "middle_name": "K.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Kay Harryman, P.A.
• Cheryl A Hart, ARNP
• Ronald Joe Hart, DDS
• John W Hatchett, M.D.
• Melissa Lin Hatfield
• Jeff Hawken
• Amaris Hawkins
• Paula Renee Hawthorne, PRSS
• Ronald L Hay, MD
• Health Network, LLC

• Physical Therapist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Physical Therapist in Oklahoma

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