Active NPI
Daniel Matisoo
- Physical Therapist
- Auburn, MA
National Provider Identifier
1366356446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 88988
- Practice address
- 489 Washington St Ste 200
Auburn, MA 01501-5709 - Phone
- (508) 721-0000
- Fax
- (508) 721-0100
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- 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 | 88988 | MA | Primary |
Addresses
Primary practice location
489 Washington St Ste 200
Auburn, MA 01501-5709
Mailing address
489 Washington St Ste 200
Auburn, MA 01501-5709
Phone (508) 721-0000
Other practice location 1
456 Main St
Holden, MA 01520-3708
Phone (508) 721-0000
Other practice location 2
65 South St Ste 101
Hopkinton, MA 01748-2234
Phone (508) 721-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1366356446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST STE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST STE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100"
}
],
"practiceLocations": [
{
"address_1": "456 Main St",
"address_purpose": "LOCATION",
"city": "Holden",
"state": "MA",
"postal_code": "015203708",
"country_code": "US",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "65 South St Ste 101",
"address_purpose": "LOCATION",
"city": "Hopkinton",
"state": "MA",
"postal_code": "017482234",
"country_code": "US",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATISOO",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "88988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.