Individual provider Active NPI

Jason W Matthews, MSPT, OCS, COMT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1457541765
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
022249-1 Issued in NY
Practice address
867W 181St St Apt 1I
New York, NY 10033-4461
Phone
(646) 704-4560
Fax
(212) 223-0198
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 022249-1 NY Primary
Orthopedic Physical Therapist 2251X0800X PT3301 ME
Orthopedic Physical Therapist 2251X0800X PT23210 FL

Addresses

Primary practice location

867W 181St St Apt 1I
New York, NY 10033-4461

Mailing address

867W 181St St Apt 1-I
New York, NY 10033-4461
Phone (646) 704-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23210FLMDOrthopedic Physical Therapist
PT3301MEMDOrthopedic Physical Therapist
022249-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Showalter PT PC Past Accepting new patients
Christopher Showalter PT PC Orthopedic Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1457541765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867W 181ST ST APT 1-I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334461",
            "telephone_number": "646-704-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867W 181ST ST APT 1I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334461",
            "telephone_number": "646-704-4560",
            "fax_number": "212-223-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JASON",
        "middle_name": "W",
        "credential": "MSPT, OCS, COMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "022249-1",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "PT3301",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT23210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.