Individual provider Active NPI

Daniel Matisoo

  • Physical Therapist
  • Auburn, MA
National Provider Identifier
1366356446
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
88988 Issued in MA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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 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.

Verify at the official NPI Registry.