Individual provider Active NPI

Matthew Rolland Shipp, PT, DPT

  • Physical Therapist
  • Kearney, NE
National Provider Identifier
1326420282
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3478 Issued in NE
Practice address
211 W 33Rd St Ste a
Kearney, NE 68845-3484
Phone
(308) 236-5884
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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 3478 NE Primary

Addresses

Primary practice location

211 W 33Rd St Ste a
Kearney, NE 68845-3484

Mailing address

1919 W 37TH St
Apartment 4
Kearney, NE 68845-2286
Phone (402) 641-7443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001170 NE Practitioner - Physical Therapist in Private Practice 7517276819 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
New West Orthopaedic and Sports Rehabilitation LLCGroup PAC ID 8224020458, 14 clinicians

Practice addresses (Care Compare)

2810 W 35TH St
Suite 2
Kearney, NE 68845-2909
Phone (308) 237-7388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3478NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New West Orthopaedic & Sports Rehabilitation LLC CurrentSince Aug 6, 2018 Accepting new patients

Locations

2810 W 35th St
Ste 2
Kearney, NE 68845
Phone (308) 237-7388

Organizations & group practices 1

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1326420282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W 37TH ST",
            "address_2": "APARTMENT 4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452286",
            "telephone_number": "402-641-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453484",
            "telephone_number": "308-236-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "MATTHEW",
        "middle_name": "ROLLAND",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.