Individual provider Active NPI

Mathew T Grasser, PT

  • Physical Therapist
  • East Grand Forks, MN
National Provider Identifier
1487115994
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2581 Issued in ND
Practice address
1421 Central Ave NW
East Grand Forks, MN 56721-1617
Phone
(218) 773-3388
Fax
(218) 773-6611
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 2581 ND Primary

Addresses

Primary practice location

1421 Central Ave NW
East Grand Forks, MN 56721-1617

Mailing address

1421 Central Ave NW
East Grand Forks, MN 56721-1617
Phone (218) 773-3388

Other practice location 1

1425 S Columbia Rd
Grand Forks, ND 58201-4039
Phone (701) 746-8374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006003111 MN Practitioner - Physical Therapist in Private Practice 5395121891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve Therapy LLCGroup PAC ID 6608762836, 9 clinicians

Practice addresses (Care Compare)

1421 Central Ave NW
East Grand Forks, MN 56721-1617
Phone (218) 773-3388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2581NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Therapy LLC Physical Therapist Current Accepting new patients
Achieve Therapy LLC CurrentSince Sep 16, 2022 Accepting new patients
Achieve Therapy LLC Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients

Locations

1421 Central Ave NW
East Grand Forks, MN 56721
Phone (218) 773-3388

110 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 237-3052

1425 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 746-8374

Interoperability endpoints

  • Direct secure messaging: achievetherapy.mathewgrasser@134973.advancedmd-direct.com

Organizations & group practices 3

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1487115994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 CENTRAL AVE NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211617",
            "telephone_number": "218-773-3388",
            "fax_number": "218-773-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 CENTRAL AVE NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211617",
            "telephone_number": "218-773-3388",
            "fax_number": "218-773-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014039",
            "country_code": "US",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSER",
        "first_name": "MATHEW",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Forks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.