Individual provider Active NPI

Matthew Douglas Bressan, DPT

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1285010199
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0014394 Issued in CO
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

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190410002766 CO Practitioner - Physical Therapist in Private Practice 6507166840 Reassigns benefits to 1 organization

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
Threshold Physical Therapy and Performance PLLCGroup PAC ID 0042551566, 3 clinicians

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

LicenseStateTypeSpecialty
PT0014394COMDPhysical Therapist
PT4229IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Threshold Physical Therapy and Performance, PLLC Physical Therapist CurrentSince Mar 7, 2019 Accepting new patients
Threshold Physical Therapy and Performance, PLLC Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
Gem Rehabilitation Services, Inc. Physical Therapist PastSince Aug 3, 2015 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.

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.

Verify at the official NPI Registry.