Active NPI
Matthew Boyd Bennion, DPT
- Physical Therapist
- Colusa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42294
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
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.
-
dba Colusa Physical Therapy
- Physical Therapy Clinic/Center
- Colusa, CA
- NPI 1740216332
Physical Therapist
-
dba Baas Physical Therapy
- Physical Therapy Clinic/Center
- Redding, CA
- NPI 1861717605
Physical Therapist
-
dba Summit Physical Therapy
- Physical Therapist
- Chico, CA
- NPI 1598632697
-
dba Loomis Physical Therapy & Sports Medicine
- Physical Therapist
- Loomis, CA
- NPI 1023412509
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.