Active NPI
Matthew Natanson, PT, DPT, OCS
- Physical Therapy Clinic/Center
- Somerville, MA
National Provider Identifier
1487017992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 19899
- Practice address
- 26 Gordon Street
Somerville, MA 02144-1110 - Phone
- (978) 505-1768
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 19899 | MA | Primary |
Addresses
Primary practice location
26 Gordon Street
Somerville, MA 02144-1110
Mailing address
26 Gordon Street
Somerville, MA 02144-1110
Phone (978) 505-1768
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19899 | MA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1487017992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 GORDON STREET",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441110",
"telephone_number": "978-505-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 GORDON STREET",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441110",
"telephone_number": "978-505-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATANSON",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MA",
"license": "19899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.