Active NPI
Matthew Allan Stanley, PT
- Physical Therapist
- Mattoon, IL
National Provider Identifier
1285932046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016714
- Practice address
- 1000 Health Center Dr
Mattoon, IL 61938-4644 - Phone
- (217) 258-2530
- NPI assigned
- Mar 3, 2011
- 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 | 070016714 | IL | Primary |
Addresses
Primary practice location
1000 Health Center Dr
Mattoon, IL 61938-4644
Mailing address
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070016714 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1285932046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384644",
"telephone_number": "217-258-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384644",
"telephone_number": "217-258-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "MATTHEW",
"middle_name": "ALLAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-03",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070016714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.