Individual provider Active NPI

Matthew Herring, P.T., D.P.T.

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1477910446
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.021566 Issued in IL
Practice address
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone
(630) 967-2000
NPI assigned
Jan 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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 070.021566 IL Primary

Addresses

Primary practice location

2100 Glenwood Ave
Joliet, IL 60435-5487

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 967-2000

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
070.021566ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC Current Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Aug 29, 2023 Accepting new patients
Three Point Healthcare LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Aug 29, 2023 Accepting new patients

Locations

6195 W 115th St
Ste A
Alsip, IL 60803
Phone (312) 262-7002

16906 Collection Ctr Dr
Chicago, IL 60693

1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652

4979 Indiana Ave
Lisle, IL 60532
Phone (312) 337-4150

19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378

5500 Maryland Way
Ste 120
Brentwood, TN 37027

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1477910446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-967-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355487",
            "telephone_number": "630-967-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "MATTHEW",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.