Matthew Therrien, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039653 Issued in NY

Practice address

2421 Long Beach Rd # 202
Oceanside, NY 11572-1361

Phone

(516) 992-2282

NPI assigned

Nov 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coppola Physical Therapy and Fitness Gym LLC

  • Physical Therapy Clinic/Center
  • Candia, NH
  • NPI 1346481561

  Physical Therapist

  Medicare reassignment NPD
• Perform Physical Therapy and Pilates PLLC

  • Physical Therapy Clinic/Center
  • Lido Beach, NY
  • NPI 1922159359
  NPD (past)
• Coppola Physical Therapy Ferry

  • Physical Therapist
  • Concord, NH
  • NPI 1982988192
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1376917666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S CENTRE AVE",
            "address_2": "APT. 2QQ",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705749",
            "telephone_number": "516-320-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 LONG BEACH RD # 202",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721361",
            "telephone_number": "516-992-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRIEN",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Teitcher, MD
• Celine K Teoh
• Shelly Thai
• Chandni Thakkar, PA-C
• Tiffany Bliss Thalappillil, FNP-C
• Jane Thomas, FNP
• Jonah Alexander Thyagaraj I, DO
• Tina Tian
• Tiny Humans Collective LLC
• Emil Anthony Tocci IV, D.C

• Physical Therapist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.