Individual provider Active NPI

Matthew W Greenwood, PT

  • Physical Therapist
  • Belvidere, IL
National Provider Identifier
1437161759
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-009772 Issued in IL
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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 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

IdentifierTypeStateIssuer
070-009772OtherILPROFESSIONAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029001292 IL Practitioner - Physical Therapist in Private Practice 1254366230 Reassigns benefits to 2 organizations

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
Ortho Rehab Specialists PLLCGroup PAC ID 8527492354, 13 clinicians

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

LicenseStateTypeSpecialty
070-009772ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Osteopractic Physical Therapy & Educational Services PLLC Current Accepting new patients
Ortho Rehab Specialists PLLC Physical Therapist CurrentSince Feb 1, 2020 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.

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.

Verify at the official NPI Registry.