Matthew Anthony Ettaro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022991 Issued in PA

Practice address

1501 Blueball Ave
Linwood, PA 19061-3922

Phone

(610) 853-8850

NPI assigned

Aug 6, 2013

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.27 of 100Reported as group

Quality

85

Promoting interoperability

99

Improvement activities

40

Cost

73.4

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3215/brand/1/csg/1/fhir/r4

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.

• Arthritis and Osteoporosis Center, Inc.

  • Specialist
  • Wyomissing, PA
  • NPI 1194786491
  Medicare reassignment NPD
• Surgical Institute of Reading LLC

  • Diagnostic Radiology Physician
  • Wyomissing, PA
  • NPI 1144781451
  Medicare reassignment NPD
• Dynamic Therapy Services LLC

  dba Pivot Physical Therapy of Mid Atlantic, LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093

  PA

  Medicare reassignment NPD
• Infusion Center of Berks County PC

  • Infusion Therapy Clinic/Center
  • Wyomissing, PA
  • NPI 1811419088
  NPD
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051

  Physical Therapist

  NPD

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1285066860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BLUEBALL AVE",
            "city": "LINWOOD",
            "state": "PA",
            "postal_code": "190613922",
            "telephone_number": "610-853-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BLUEBALL AVE",
            "city": "LINWOOD",
            "state": "PA",
            "postal_code": "190613922",
            "telephone_number": "610-853-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTARO",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Chen, PA-C
• Chichester Dental PC
• Lisa Fabienne Golob
• Graceful Home Health Care Services LLC
• Happycare Dental, LLC
• Steven Hutchinson, OWNER
• Jobin M James, DPT

• Physical Therapist in Linwood, PA
• Providers in Linwood, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.