Individual provider Active NPI

Carrie S Matter, MS, PT

  • Specialist
  • Westminster, CO
National Provider Identifier
1336198688
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7462 Issued in CO
Practice address
3257 W 116TH Ave
Westminster, CO 80031-7135
Phone
(303) 465-5540
NPI assigned
May 6, 2006
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7462 CO Primary

Addresses

Primary practice location

3257 W 116TH Ave
Westminster, CO 80031-7135

Mailing address

4045 Wadsworth Blvd
Suite #10
Wheat Ridge, CO 80033-4642
Phone (303) 940-1611

Other names 1

  • Ms. Carrie Anderson Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7462COMDNurse Massage Therapist (NMT)

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Physical Therapy & Sports Medicine LLC PastSince Jan 24, 2021 Accepting new patients
Altitude Physical Therapy & Sports Medicine LLC PastSince Mar 23, 1995 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1336198688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD",
            "address_2": "SUITE #10",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334642",
            "telephone_number": "303-940-1611",
            "fax_number": "303-432-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 W 116TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317135",
            "telephone_number": "303-465-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTER",
        "first_name": "CARRIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "7462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "ANDERSON",
            "prefix": "MS.",
            "credential": "MS, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.