Matthew Caverow, MPT

Key facts

NPI

1366427346

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

40QA01086000 (NJ)

Practice address

118 Wheat Rd
Buena, NJ 08310-1402

Phone

(856) 697-3071

Fax

(856) 697-3370

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Rehabclinics SPT Inc Physical Therapy Clinic/Center · Manahawkin, NJ · NPI 1043271216
  NPD (past)
• Rehabclinics SPT, Inc. Physical Therapy Clinic/Center · Chalfont, PA · NPI 1952009482
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 16, 2015.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1366427346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "address_2": "189 5TH AVE",
            "city": "ESTELL MANOR",
            "state": "NJ",
            "postal_code": "083190068",
            "telephone_number": "609-476-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WHEAT RD",
            "city": "BUENA",
            "state": "NJ",
            "postal_code": "083101402",
            "telephone_number": "856-697-3071",
            "fax_number": "856-697-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVEROW",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01086000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Buena, NJ · Physical Therapist in New Jersey