Individual provider Active NPI

Matthew Boyd Bennion, DPT

  • Physical Therapist
  • Colusa, CA
National Provider Identifier
1457743239
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42294 Issued in 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
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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 PT42294 CA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504001574 CA Practitioner - Physical Therapist in Private Practice 8426377045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 8022076348, 36 clinicians

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 100Reported as group
Quality
38.71
Promoting interoperability
100
Improvement activities
40
Cost
68.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42294CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Feb 24, 2015 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Western Physical Therapy Inc Physical Therapist CurrentSince Feb 24, 2015 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist PastSince Oct 1, 2014 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

Organizations & group practices 4

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1457743239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493396",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960493396",
            "telephone_number": "530-221-9952",
            "fax_number": "530-221-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 BRIDGE ST",
            "address_2": "SUITE C",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322867",
            "telephone_number": "530-458-7770",
            "fax_number": "530-458-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNION",
        "first_name": "MATTHEW",
        "middle_name": "BOYD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.