Individual provider Active NPI

Matthew S Harrison, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1447550488
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19323 Issued in MA
Practice address
30 Glennie St
Worcester, MA 01605-3917
Phone
(508) 791-8740
Fax
(508) 752-3716
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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 19323 MA Primary

Addresses

Primary practice location

30 Glennie St
Worcester, MA 01605-3917

Mailing address

30 Glennie St
Worcester, MA 01605-3917
Phone (508) 791-8740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000554 MA Practitioner - Physical Therapist in Private Practice 1557537685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

Practice addresses (Care Compare)

102 Shore Dr
Worcester, MA 01605-3154
Phone (508) 854-4140

4 Meeting House Rd
Suite 5
Chelmsford, MA 01824-2775
Phone (978) 970-2460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
DG Physical Therapy PC CurrentSince Jun 1, 2019 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Jun 1, 2019 Accepting new patients

Locations

319A Southbridge St
Ste 150
Auburn, MA 01501
Phone (508) 832-2628

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

102 Shore Dr
Worcester, MA 01605
Phone (508) 425-7670

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1447550488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.