Active NPI
Matthew Douglas Bressan, DPT
- Physical Therapist
- Arvada, CO
National Provider Identifier
1285010199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0014394
- Practice address
- 5790 Yukon St
Arvada, CO 80002-2457 - Phone
- (719) 252-8954
- NPI assigned
- Aug 3, 2015
- Sex
- Male
- Sole proprietor
- No
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 | PT0014394 | CO | Primary |
| Physical Therapist | 225100000X | PT4229 | ID |
Addresses
Primary practice location
5790 Yukon St
Arvada, CO 80002-2457
Mailing address
5790 Yukon St
Arvada, CO 80002-2457
Phone (719) 252-8954
Other practice location 1
809 S Washington Ave
Emmett, ID 83617-3528
Phone (208) 365-5341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5790 Yukon St
Arvada, CO 80002-2457
Phone (719) 252-5954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0014394 | CO | MD | Physical Therapist |
| PT4229 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Threshold Physical Therapy and Performance, PLLC | Physical Therapist | Current | Accepting new patients |
| Threshold Physical Therapy and Performance, PLLC | Physical Therapist | Current | Accepting new patients |
| Gem Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
5790 Yukon St
Arvada, CO 80002
Phone (303) 223-7451
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 and National Provider Directory roles.
-
- Physical Therapist
- Arvada, CO
- NPI 1679035919
-
- Physical Therapist
- Arvada, CO
- NPI 1457215659
-
- Physical Therapist
- Horseshoe Bend, ID
- NPI 1730219361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1285010199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5790 YUKON ST",
"city": "ARVADA",
"state": "CO",
"postal_code": "800022457",
"telephone_number": "719-252-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5790 YUKON ST",
"city": "ARVADA",
"state": "CO",
"postal_code": "800022457",
"telephone_number": "719-252-8954"
}
],
"practiceLocations": [
{
"address_1": "809 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Emmett",
"state": "ID",
"postal_code": "836173528",
"country_code": "US",
"telephone_number": "208-365-5341",
"fax_number": "208-365-5342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRESSAN",
"first_name": "MATTHEW",
"middle_name": "DOUGLAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PT0014394",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT4229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.