Individual provider Active NPI

Matthew Patrick Raymond, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Southington, CT
National Provider Identifier
1457332181
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
000534 Issued in CT
Practice address
340 N Main St
Southington, CT 06489-2529
Phone
(860) 628-3111
Fax
(860) 628-3119
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 000534 CT Primary

Addresses

Primary practice location

340 N Main St
Southington, CT 06489-2529

Mailing address

340 North Main St.
Southington, CT 06489
Phone (860) 628-3111

Other identifiers 1

IdentifierTypeStateIssuer
5005343MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mraymond15918@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000261 CT Practitioner - Physical Medicine and Rehabilitation 0244314466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of New England, College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

340 N Main St
Southington, CT 06489-2529
Phone (860) 628-3111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
534CTMDNaturopath
000534CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CT Rehabilitation & Spasticity Care, LLC CurrentSince Jul 13, 2011 Accepting new patients
Physical Medicine & Rehabilitation of Hartford LLC Physical Medicine & Rehabilitation PastSince Aug 5, 2002 Accepting new patients

Locations

340 N Main St
Southington, CT 06489
Phone (860) 621-0131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDIEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJGAA
  • Direct secure messaging: matthew.raymond@xdr.hhchealthdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDIEBA/Endpoint/BDIEBA

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1457332181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NORTH MAIN ST.",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "06489",
            "telephone_number": "860-628-3111",
            "fax_number": "860-628-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892529",
            "telephone_number": "860-628-3111",
            "fax_number": "860-628-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "MATTHEW",
        "middle_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "000534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005343",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mraymond15918@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "340 N Main St",
            "city": "Southington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064892529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.