Active NPI
Matvey Gorzhevsky, PT
- Orthopedic Physical Therapist
- Aventura, FL
National Provider Identifier
1275919813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT30534
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT30534 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sos Physio LLC | Orthopedic | Current | 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.