Individual provider Active NPI

Matthew David Hornung

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1386234276
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5849 W Saginaw Hwy
Lansing, MI 48917-2460
Phone
(517) 827-8644
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 Primary

Addresses

Primary practice location

5849 W Saginaw Hwy
Lansing, MI 48917-2460

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210129000815 MI Practitioner - Physical Therapist in Private Practice 7113331307 Reassigns benefits to 1 organization
I20210719002665 NY Practitioner - Physical Therapist in Private Practice 7113331307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40 George Karl Blvd
Suite 140
Williamsville, NY 14221-7183
Phone (716) 539-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043170NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jan 25, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

202 E Van Riper Rd
Ste 200
Fowlerville, MI 48836
Phone (517) 223-2100

5849 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 827-8644

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

5190 Transit Rd
Depew, NY 14043
Phone (716) 651-0100

5589 Transit Rd
East Amherst, NY 14051
Phone (716) 568-1251

230 Main St
East Aurora, NY 14052
Phone (716) 333-8723

60 Main St
Ste 1
Hamburg, NY 14075
Phone (716) 649-1618

4901 Camp Rd
Ste 300
Hamburg, NY 14075
Phone (716) 464-1102

2760 Delaware Ave
Kenmore, NY 14217
Phone (716) 423-2262

4200 N Buffalo Rd
Orchard Park, NY 14127
Phone (716) 539-2900

2100 Union Rd
West Seneca, NY 14224
Phone (716) 656-8600

40 George Karl Blvd
Ste 140
Williamsville, NY 14221
Phone (716) 458-1990

150 Tech Dr
Williamsville, NY 14221
Phone (716) 276-8300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1386234276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 W SAGINAW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172460",
            "telephone_number": "517-827-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNUNG",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.