Matthew Boyd Bennion, DPT
Individual provider Active NPI Physical Therapist · Colusa, CA
NPI 1457743239 · NPPES record last updated Mar 3, 2015
Key facts
- NPI
- 1457743239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT42294 (CA)
- Practice address
- 844 Bridge St
Suite C
Colusa, CA 95932-2867 - Phone
- (530) 458-7770
- Fax
- (530) 458-7735
- NPI assigned
- Mar 3, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Physical Therapy Inc
Practice addresses (Care Compare)
10255 Live Oak Blvd
Live Oak, CA 95953-2015
Phone (530) 695-3700
1516 State Hwy 99
Suite G
Gridley, CA 95948-3130
Phone (530) 846-8018
6125 King Rd
Suite 102
Loomis, CA 95650-8809
Phone (916) 652-5700
844 Bridge St
Suite C
Colusa, CA 95932-2867
Phone (530) 458-7770
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.21 of 100
- Quality
- 38.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150504001574 | CA | Practitioner - Physical Therapist in Private Practice | 8426377045 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42294 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Western Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Western Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Western Physical Therapy, Inc. | Physical Therapist | Past |
Accepting new patients |
Locations
844 Bridge St
Ste C
Colusa, CA 95932
Phone (530) 458-7770
1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018
10255 Live Oak Blvd
Live Oak, CA 95953
Phone (530) 695-3700
6125 King Rd
Ste 102
Loomis, CA 95650
Phone (916) 652-5700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT42294 | CA | Yes |
Addresses
Primary practice location
844 Bridge St
Suite C
Colusa, CA 95932-2867
Mailing address
PO Box 493396
Redding, CA 96049-3396
Phone (530) 221-9952
Other providers in Colusa, CA
- James Barrett II
- Kerri A Bartlett
- Shaneen W Bayless
- Kaela Beckley
- Meriem Belabed
- Paul Anthony Billeci
- Curtis R Boewer
- Ashak Fakous Botros
- Susan M Bowen
- Susan Marie Bruno
All providers in Colusa, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.