Individual provider Active NPI

Matthew Massaro, DPT

  • Physical Therapist
  • Lumberton, NJ
National Provider Identifier
1336788322
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01908600 Issued in NJ
Practice address
737 Main St Ste 5
Lumberton, NJ 08048-3089
Phone
(609) 832-0505
Fax
(609) 832-0506
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 40QA01908600 NJ Primary

Addresses

Primary practice location

737 Main St Ste 5
Lumberton, NJ 08048-3089

Mailing address

1377 Motor Parkway Suite 307
Islandia, NY 11749
Phone (914) 294-4050

Other practice location 1

2103 Burlington Mount Holly Rd
Burlington, NJ 08016-4157
Phone (609) 386-1460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MMassaro@kessler-rehab.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200312001943 NJ Practitioner - Physical Therapist in Private Practice 0143658716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

737 Main St
Suite 5
Lumberton, NJ 08048-3089
Phone (609) 832-0505

Merit-based Incentive Payment System (MIPS)

Final score
71.93 of 100Reported as individual
Quality
54.24
Promoting interoperability
76
Improvement activities
40
Cost
72.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

737 Main St
Ste 5
Lumberton, NJ 08048
Phone (609) 832-0505

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Interoperability endpoints

  • Direct secure messaging: mmassaro@kessler-rehab.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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1336788322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PARKWAY SUITE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "11749",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 MAIN ST STE 5",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080483089",
            "telephone_number": "609-832-0505",
            "fax_number": "609-832-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Burlington Mount Holly Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080164157",
            "country_code": "US",
            "telephone_number": "609-386-1460",
            "fax_number": "609-386-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01908600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MMassaro@kessler-rehab.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2103 Burlington Mount Holly Rd",
            "city": "Burlington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080164157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.