Individual provider Active NPI

Matvey Gorzhevsky, PT

  • Orthopedic Physical Therapist
  • Aventura, FL
National Provider Identifier
1275919813
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT30534 Issued in FL
Practice address
3575 NE 207TH St Ste B17
Aventura, FL 33180-3705
Phone
(305) 306-8376
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT30534 FL Primary

Addresses

Primary practice location

3575 NE 207TH St Ste B17
Aventura, FL 33180-3705

Mailing address

3575 NE 207TH St Ste B17
Aventura, FL 33180-3705
Phone (305) 306-8376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109002576 FL Practitioner - Physical Therapist in Private Practice 7113237819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sos Physio LLCGroup PAC ID 0648579334, 7 clinicians

Practice addresses (Care Compare)

3575 NE 207TH St
Suite B17
Aventura, FL 33180-3705
Phone (305) 306-8376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30534FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sos Physio LLC Orthopedic CurrentSince Jan 14, 2016 Accepting new patients

Locations

3575 NE 207th St
Ste B17
Miami, FL 33180
Phone (305) 306-8376

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1275919813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 NE 207TH ST STE B17",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803705",
            "telephone_number": "305-306-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 NE 207TH ST STE B17",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803705",
            "telephone_number": "305-306-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORZHEVSKY",
        "first_name": "MATVEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT30534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; 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.