Individual provider Active NPI

Matthew F Connor, DPT

  • Physical Therapist
  • Hamilton, NJ
National Provider Identifier
1306179163
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01321900 Issued in NJ
Practice address
1900 Arena Dr
Hamilton, NJ 08610-2426
Phone
(609) 585-2333
Fax
(609) 585-6522
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01321900 NJ Primary

Addresses

Primary practice location

1900 Arena Dr
Hamilton, NJ 08610-2426

Mailing address

1900 Arena Dr
Hamilton, NJ 08610-2426
Phone (609) 585-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309000518 VA Practitioner - Physical Therapist in Private Practice 7113066408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlottesville Orthopaedic Center, PLCGroup PAC ID 4385631530, 4 clinicians

Practice addresses (Care Compare)

183 Spotnap Rd
Suite C
Charlottesville, VA 22911-8812
Phone (434) 244-8412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01321900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charlottesville Orthopaedic Center, PLC CurrentSince Apr 30, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Sports Physical Therapy Institute,PA Physical Therapist Past Accepting new patients

Locations

183 Spotnap Rd
Ste C
Charlottesvle, VA 22911
Phone (434) 244-8412

2303 N Augusta St
Ste E
Staunton, VA 24401
Phone (540) 886-4510

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17611/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.connor.1@17611.direct.athenahealth.com

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1306179163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ARENA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086102426",
            "telephone_number": "609-585-2333",
            "fax_number": "609-585-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ARENA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086102426",
            "telephone_number": "609-585-2333",
            "fax_number": "609-585-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "MATTHEW",
        "middle_name": "F",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01321900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.