Active NPI
Matthew W Greenwood, PT
- Physical Therapist
- Belvidere, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009772
- Practice address
- 1255 Logan Ave
Belvidere, IL 61008-4001 - Phone
- (815) 547-4733
- Fax
- (815) 547-9733
- NPI assigned
- Aug 13, 2006
- Last updated
- Sep 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-009772 | IL | Primary |
Addresses
Primary practice location
1255 Logan Ave
Belvidere, IL 61008-4001
Mailing address
1255 Logan Ave
Belvidere, IL 61008-4001
Phone (815) 547-4733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-009772 | Other | IL | PROFESSIONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Logan Ave
Belvidere, IL 61008-4001
Phone (815) 547-4733
3490 Colony Bay Dr
Rockford, IL 61109-2560
Phone (815) 691-2708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009772 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood Osteopractic Physical Therapy & Educational Services PLLC | Current | Accepting new patients | |
| Ortho Rehab Specialists PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1255 Logan Ave
Belvidere, IL 61008
Phone (815) 547-4733
1255 Logan Ave
Ste B
Belvidere, IL 61008
Phone (815) 547-4733
201 Lincoln Statue Dr
Dixon, IL 61021
Phone (815) 284-1700
201 Lincoln Statue Dr
Ste 102
Dixon, IL 61021
Phone (815) 284-1700
2662 McFarland Rd
Rockford, IL 61107
Phone (815) 226-8780
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.
-
- Physical Therapy Clinic/Center
- Rockford, IL
- NPI 1154283174
-
- Physical Therapist
- Rockford, IL
- NPI 1891330882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1437161759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 LOGAN AVE",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610084001",
"telephone_number": "815-547-4733",
"fax_number": "815-547-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 LOGAN AVE",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610084001",
"telephone_number": "815-547-4733",
"fax_number": "815-547-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "MATTHEW",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "070-009772",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.