Individual provider Active NPI

Matthew K Carrico, PT

  • Physical Therapist
  • Durham, NH
National Provider Identifier
1427077130
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2771 Issued in NH
Practice address
38 Sandy Brook Dr
Durham, NH 03824-3138
Phone
(603) 953-5147
NPI assigned
Jul 19, 2006
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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 2771 NH Primary

Addresses

Primary practice location

38 Sandy Brook Dr
Durham, NH 03824-3138

Mailing address

38 Sandy Brook Dr
Durham, NH 03824-3138
Phone (603) 953-5147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000074 NH Practitioner - Physical Therapist in Private Practice 4789670365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Physical Therapy and Hand CenterGroup PAC ID 5890797096, 9 clinicians

Practice addresses (Care Compare)

1900 Lafayette Rd
Suite C
Portsmouth, NH 03801-5679
Phone (603) 431-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2771NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Physical Therapy and Hand Center Physical Therapist CurrentSince Mar 15, 2025 Accepting new patients
Dover Physical Therapy Physical Therapist CurrentSince Oct 21, 2013 Accepting new patients

Locations

273 Locust St
#202
Dover, NH 03820
Phone (603) 343-5635

1900 Lafayette Rd
Ste C
Portsmouth, NH 03801
Phone (603) 431-5600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1427077130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SANDY BROOK DR",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243138",
            "telephone_number": "603-953-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SANDY BROOK DR",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243138",
            "telephone_number": "603-953-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICO",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.