Active NPI
Timothy J Mathewson, PTA
- Physical Therapy Assistant
- Somerset, MA
National Provider Identifier
1366817504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6150
- Practice address
- 20 Burk St
Somerset, MA 02725-1610 - Phone
- (508) 933-4423
- NPI assigned
- Dec 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6150 | MA | Primary |
| Community Health Worker | 172V00000X | 00988 | RI | |
| Community Health Worker | 172V00000X | 6150 | MA |
Addresses
Primary practice location
20 Burk St
Somerset, MA 02725-1610
Mailing address
20 Burk St
Somerset, MA 02725-1610
Phone (508) 933-4423
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00988 | RI | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1366817504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BURK ST",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027251610",
"telephone_number": "508-933-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BURK ST",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027251610",
"telephone_number": "508-933-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWSON",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-13",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "6150",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "RI",
"license": "00988",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MA",
"license": "6150",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.