Active NPI
Jeffrey Ryan Mathews, PT
- Physical Therapist
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6030
- Practice address
- 501 E Nicollet Blvd
#100
Burnsville, MN 55337-6732 - Phone
- (952) 460-4900
- NPI assigned
- Aug 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6030 | MN | Primary |
Addresses
Primary practice location
501 E Nicollet Blvd
#100
Burnsville, MN 55337-6732
Mailing address
13976 Dander CT
Rosemount, MN 55068-4127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843
600 W 98TH St
Suite 390
Bloomington, MN 55420-4792
Phone (952) 885-6200
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170
501 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- General Practice Physician
- Saint Paul, MN
- NPI 1346722675
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285742916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13976 DANDER CT",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550684127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E NICOLLET BLVD",
"address_2": "#100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376732",
"telephone_number": "952-460-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "JEFFREY",
"middle_name": "RYAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.